Controller

Job Description

Overview

A growing healthcare services organization is seeking an experienced Controller to lead day-to-day accounting operations and strengthen financial reporting across a complex, multi-entity business. Reporting directly to the CFO, this hands-on leadership role will own the monthly close, GAAP-compliant financial reporting, revenue recognition, cash flow analysis, budgeting, and internal controls.

The ideal candidate will bring strong controllership experience in a healthcare or similarly complex, multi-payer environment. Experience with healthcare reimbursement, revenue cycle accounting, or EMS is highly relevant. The Controller will also play a key role in systems optimization, M&A accounting, audit management, and developing the accounting team as the organization continues to grow.

Responsibilities

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• Own monthly, quarterly, and annual close processes across multiple entities
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• Ensure timely, accurate GAAP-compliant financial statements and lender reporting
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• Oversee healthcare revenue recognition, contractual allowances, bad debt, and payer-related reserves
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• Serve as the primary accounting owner for Microsoft Dynamics 365 Business Central
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• Review journal entries, balance sheet reconciliations, and supporting schedules
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• Develop weekly cash flow analyses and support liquidity planning
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• Lead annual budgeting and forecasting in partnership with operational leaders and the CFO
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• Manage financial statement, lender, regulatory, insurance, and payer-related audits
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• Develop and strengthen internal controls, accounting policies, and procedures
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• Support M&A accounting, including purchase accounting, fair value assessments, goodwill, and intangible assets
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• Oversee fixed assets, lease accounting, and other technical GAAP matters
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• Prepare management reporting and financial analysis for executive leadership
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• Lead accounting process improvements and automation initiatives
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• Supervise, mentor, and develop accounting and revenue-cycle personnel
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Requirements

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• 7+ years of progressive accounting and controllership experience
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• Bachelor's degree in Accounting, Finance, or a related field
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• Strong knowledge of U.S. GAAP and accrual-basis accounting
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• Experience leading multi-entity monthly and annual close processes
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• Healthcare accounting or reimbursement experience strongly preferred
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• Understanding of healthcare revenue recognition and payer reimbursement
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• Experience with ERP systems; Microsoft Dynamics 365 Business Central preferred
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• Strong financial reporting, reconciliation, and cash flow management skills
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• Experience developing internal controls and accounting policies
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• Experience managing external financial statement audits
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• M&A and purchase accounting experience preferred
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• Knowledge of ASC 842 and other technical accounting areas
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• Strong analytical, organizational, and problem-solving skills
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• Proven ability to lead, mentor, and develop accounting teams
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