Controller

We are seeking a skilled and dedicated Controller to join our healthcare team. Iowa Radiology is a patient-centered practice that promotes a more compassionate approach to medicine. We provide our employees the ability to bring their authentic selves to work every day, providing compassionate care for our patients in a collaborative, supportive work environment.

Location: West Des Moines, IA

Schedule: Monday-Friday, normal business hours

Status: Full-time, 32 or 40 hours per week.

Job Summary: The Controller is responsible for overseeing the organization’s accounting operations, financial reporting, internal controls, and compliance activities for one or more businesses. This role supports the CFO by ensuring the accuracy and integrity of financial records and driving process improvements that enhance operational efficiency and financial transparency.

Financial Reporting & Accounting Operations

• Manage day-to-day accounting operations, including general ledger, accounts payable, accounts receivable, payroll, fixed assets, and cash management.
• Oversee monthly, quarterly, and annual financial close processes to ensure timely and accurate reporting.
• Manage accounts payable/accounts receivable, payroll and financial reporting transactions.
• Prepare and review financial statements and journal entries in accordance with GAAP.
• Ensure proper account reconciliations and resolution of accounting discrepancies.
• Create and implement policies and procedures to identify, resolve, and document accounting issues.
• Partner with leadership to develop budgets and financial forecasts

Internal Controls and Compliance

• Maintain and strengthen internal control systems and accounting policies.
• Ensure compliance with GAAP, internal accounting processes, and federal, state, and local regulations.
• Coordinate external audits and function as the primary liaison with auditors.
• Support implementation of accounting standards and regulatory changes.
• Assist with tax compliance and reporting requirements.

Budget and Financial Analysis

• Prepare budgets, forecasts, and variance analysis.
• Monitor departmental budgets and identify variances.
• Perform analysis on financial results, trends, costs and budgets and provides recommendations to senior leadership.
• Develop financial models and management reports as needed.

Process Improvement

• Evaluate and improve accounting processes, systems, and workflows.
• Support internal controls and recommend process improvements.
• Lead ERP implementations, upgrades, or financial system enhancements.
• Identify opportunities for automation and increased efficiency.
• Support organizational growth through scalable accounting practices.

Leadership

• Participate in operations leadership team meetings and lead dashboard discussions.
• Mentor junior accountant and provide guidance on best practices.

Other duties

• Other duties as assigned.

Requirements and Qualifications:

Education

• Bachelor’s degree in accounting, Finance, or related field.

Knowledge, Skills, and Abilities

• Minimum 8+ years of progressive accounting experience.
• Strong knowledge of GAAP, financial reporting, and internal controls.
• Experience working with external auditors.
• Experience with ERP systems and advanced accounting software.
• Proficient in Microsoft Excel and other financial modeling tools.
• Detail-oriented with strong analytical and problem-solving abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Exceptional organizational and project management capabilities.

Physical, Mental, and Visual Effort

• Continuous speaking, hearing, and visual effort.
• Must have the ability to communicate effectively and work independently.
• Continuous mental and visual concentration requiring attention-to-detail and accuracy.
• Working conditions are typical of a normal office or individual home office environment.
• Must possess manual dexterity to operate computer and other office equipment.
• Ability to perform repetitive tasks associated with technology use (phone, computer, applications, and software).
• Must be able to bend, stoop, kneel, or crouch as part of job functions.
• The ability to lift and carry up to twenty-five (25) pounds when necessary.

Competitive Benefits package including but not limited to:

• Health, Dental, and Vision Insurance
• Life Insurance
• Short-term and long-term Disability Insurance
• Paid Time Off and Paid Holidays
• 401k Retirement Plan
• Referral Program

Equal Employment Opportunity (EEO) Statement:

Professional Medical Management (PMM), Iowa Diagnostic Imaging and Procedure Center (IDIPC), and Iowa Radiology are equal opportunity employers. We are committed to fostering a diverse, inclusive, and respectful workplace. All qualified candidates are given equal employment opportunity without regard to race, color, national origin, sex, gender identify, sexual orientation, age, disability, religion, or any other characteristic protected by federal, state, or local law.

We celebrate diversity and are committed to creating an inclusive environment for all employees. Reasonable accommodations are available to individuals with disabilities from the application process and throughout employment with any of our companies.

At-Will Employment Statement:

The statements in this job description are intended to describe the general nature and level of work being performed and are not to be construed as an exhaustive list of responsibilities, duties, and skills of employees so classified. The job description may be reviewed and modified at any time to meet the needs of the business. This document does not create an employment contract, implied or otherwise, other than “at-will.”