Controller

VP / Controller Position

MD² International is seeking an experienced VP / Controller to lead and scale the accounting function for a growing, private equity-backed healthcare organization. This is a full-time, in-person position based at our corporate headquarters in Bellevue, Washington. This role requires both strategic leadership and day-to-day operational involvement in accounting activities as well as management of a 10+ member (and growing) accounting organization.

MD² currently operates nearly 40 locations nationwide and continues to experience double-digit annual growth (with an expectation of doubling the number of offices over the next 5 – 8 years). The Controller will play a critical role in supporting this expansion by ensuring financial integrity, scalable accounting infrastructure, and operational excellence across the organization.

The Controller will oversee all accounting operations, financial reporting, audit coordination, internal controls, and multi-entity reporting while partnering closely with executive leadership to support organizational growth and financial discipline. This individual will also play a key role in optimizing NetSuite functionality, improving accounting processes, and collaborating with FP&A on budgeting, forecasting, financial planning, and management reporting.

The ideal candidate is a CPA with strong technical accounting expertise, deep knowledge of GAAP, experience managing corporate audits, and familiarity with LLC structures and related tax treatment. Experience in multi-site healthcare or retail organizations and private equity-backed environments is strongly preferred. This role is focused on operational accounting excellence and scalable financial infrastructure rather than healthcare revenue cycle management.

Key Responsibilities

• Lead monthly, quarterly, and annual close processes across multiple entities and operating locations
• Prepare and review consolidated financial statements in accordance with GAAP
• Ensure timely and accurate financial reporting for executive leadership, physician owners, lenders, and external stakeholders
• Oversee general ledger accounting, reconciliations, accruals, fixed assets, and intercompany transactions
• Maintain and improve accounting policies, procedures, and internal controls

• Serve as a hands-on leader within the accounting function, supporting both strategic initiatives and day-to-day accounting operations
• Drive optimization, enhancement, and utilization of NetSuite to improve reporting accuracy, workflow efficiency, and scalability
• Partner with internal stakeholders and external resources on system improvements, process automation, and reporting enhancements
• Develop scalable accounting infrastructure and standardized processes to support continued growth
• Implement process change and automation initiatives using AI and core finance systems including NetSuite, Cube, and Ramp

• Manage accounting operations for multiple LLCs and affiliated entities
• Ensure proper accounting treatment for complex ownership structures and intercompany activity
• Support acquisitions, integrations, and ongoing operational accounting needs as the organization expands
• Partner with operational leadership to improve financial visibility and reporting consistency across sites

• Serve as primary liaison for external financial statement audits and tax advisors
• Maintain audit-ready workpapers, schedules, and supporting documentation
• Ensure compliance with GAAP and applicable federal, state, and local reporting requirements
• Coordinate annual tax filings and support matters related to LLC tax treatment and entity structures
• Evaluate and strengthen internal control processes and accounting workflows

• Collaborate closely with FP&A on budgeting, forecasting, cash flow planning, and management reporting
• Support development of KPI reporting and operational analytics for leadership decision-making
• Lead, mentor, and develop accounting team members
• Foster a culture of accountability, continuous improvement, and operational excellence

Requirements

Qualifications Required

• Active CPA license required
• Bachelor's degree in Accounting or Finance
• 10+ years of progressive accounting experience
• 5+ years in a Controller or VP of accounting role
• Strong experience with multi-entity accounting and consolidations
• Deep knowledge of GAAP, financial reporting, and internal controls
• Experience managing external financial audits
• Familiarity with LLC structures and related tax/accounting treatment
• Experience working in ERP/accounting systems, including NetSuite or similar platforms
• Strong leadership and team management experience
• Advanced Excel and financial systems proficiency

Preferred

• Experience within a multi-site healthcare organization strongly preferred
• Experience in private equity-backed organizations preferred
• Experience in physician services, healthcare services, MSO, DSO, or other multi-location healthcare environments
• Prior public accounting experience
• Experience leading accounting process improvement and systems optimization initiatives

Key Attributes

• Hands-on, working manager with strong operational accounting capabilities
• Strong technical accounting and analytical skills
• Process-oriented mindset with focus on scalability and continuous improvement
• Ability to operate effectively in a fast-paced, evolving environment
• Excellent communication and cross-functional partnership skills
• High integrity and commitment to financial accuracy and accountability

MD² is an Equal Opportunity/Affirmative Action Employer. We consider all qualified applicants without regard to race, religion, color, sex, gender, national origin, age, sexual orientation, disability, or veteran status, among other factors.