Controller

Overview

Alliance Cancer Specialists (ACS) is seeking a highly skilled and adaptable Controller to lead the financial management of a complex, six-division, physician-owned oncology practice. This role is both strategic and hands-on, requiring exceptional attention to detail, strong business judgment, and the ability to clearly articulate complex financial information to physician shareholders who approach decisions from a clinical and financial lens. This is a presentation-heavy, high-visibility role. The Controller serves as the senior on-site finance leader for the practice and a key financial partner within the U.S. Oncology Network.

Practice Scope

• Six-division oncology practice
• 25 physicians and 12 Advanced Practice Providers
• 8 clinical sites
• Physician-owned and shareholder-governed
• Member of the U.S. Oncology / McKesson Specialty Health Network

Reporting & Team Structure

• Reporting Structure: Reports directly to the Regional Finance Director, with a dotted-line relationship to the Executive Director.
• The Controller directly supervises and mentors:
• One Financial Analyst
• One Senior Accountant

Key Responsibilities

• Lead monthly, quarterly, and annual close processes in accordance with GAAP - Develop and present financial statements, KPIs, and variance analyses to physicians, boards, and committees
• Translate complex financial data into clear, actionable insights for non-financial stakeholders
• Lead the annual budget, forecasting, and long-range planning processes
• Perform financial modeling, pro forma, and ad hoc analyses to support strategic initiatives
• Ensure compliance with accounting policies, internal controls, and SOX-related requirements
• Manage tax compliance, capital requisitions, insurance coverage, and drug inventory
• controls
• Act as financial liaison between the practice and U.S. Oncology Network
• Partner with the Executive Director and operational leaders on practice initiatives
• Lead, develop, and mentor finance staff

Qualifications & Skills

• Bachelor’s degree in Accounting or Finance (required)
• 7+ years of progressive accounting/finance experience, including 3+ years in a leadership role - Healthcare or physician practice experience strongly preferred
• CPA and/or MBA preferred - Strong GAAP, budgeting, forecasting, and financial modeling expertise - Exceptional presentation and communication skills - Ability to operate effectively in a complex, physician-led environment
• Compensation & Benefits
• Base Salary Range: $150,000 – $185,000, commensurate with experience
• Performance-based incentive bonus opportunity
• Comprehensive benefits package including medical, dental, vision, 401(k), and paid time off

SCOPE: Advises up-line management regarding the practice management financial programs in a multi-site, single market location. Assists in determining financial goals for the various operating units, analyzing and reporting variances and maintaining general ledger and related systems for accounts receivable, accounts payable, and payroll. Develops management reports, coordinates and monitors financial budgets and ensures financial reporting is in accordance with generally accepted accounting principles. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: -Develops systems and monitors compliance with the various company/practice agreements, including the Management Services Agreement with the practices and all related agreements. -Ensure practice is compliant with all established accounting and revenue cycle policies/procedures and internal controls -Oversight of revenue cycle and reconciliation of key accounts (AR, cash clearing, credit balances, reserves for contractual, bad debt and denials) -Responsible for reporting detailed financial information to Executive Director and physician leadership -Present financials at physician meetings and board meetings. -Month end accounting process. -Liaison between McKesson Specialty Health and field for process implementation and control. - Performance preparation -Provides support to department managers, practice administration and physicians in the preparation, understanding and use of financial information and assists the organization toward its goal of improving cost-effectiveness of health care delivery. -Participates in development of practice objectives. -Ensures information systems capture financial information required by third party payers, practice management, physicians, company and required external sources (Insurance, SEC, etc). -Ensures that fiscal deadlines are met and appropriate data is provided. -Establishes and monitors internal controls of assets/resources, including developing and writing financial policies and procedures. -Supervises business office in developing and implementing procedures relative to patient accounts and reimbursements by patient, insurance and other third party payers. -Participates in the selection and implementation of computer software. -Directs practice and site cost accounting, budgeting and special projects. -Develops annual budget and coordinates and implements budgets for all operating units. Develops budget instructions, assists managers with budget preparation, ensures compliance with presentation deadlines and reviews reasonableness of final budget goals. -Oversees operating, capital and cash flow budgets and assists practice management in exercising control to ensure expenditures do not exceed budgetary limits and are in compliance with Management Service Agreement and all related agreements. -Reviews proposed contracts for financial impact and risk factors. -Audits some contracts, orders and vouchers before processing. -Coordinates external audits as necessary. -Coordinates some activities in keeping books and records, including maintaining general ledger and related systems for accounts receivable, accounts payable, and payroll. -Coordinates payroll functions and related reporting. -Ensures proper receiving, deposition, and disbursing of all center funds and manages cash flow. -Supervises assigned accounting and accounting support staff. MINIMUM QUALIFICATIONS: Bachelor’s degree in Accounting or Finance. Minimum seven years of experience in fiscal management. Three years public accounting experience preferred. Healthcare experience preferred. CPA, CMPE preferred. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires sitting for long periods of time. Some bending and stretching required. Adequate finger dexterity and feeling to perform keyboarding and substantial repetitive motions involving the wrists, hands and/or fingers. Requires corrected vision and hearing to normal range. Must be able to view computer screen and printed material accurately. Occasionally lifts and carries items weighing up to 30 lbs. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment and requires frequent interaction with practice management, staff, and physicians. Work may require occasional travel by air or automobile.