Controller

Overview

A healthcare organization is seeking a senior accounting leader to build and unify the accounting infrastructure across a rapidly scaling, multi-entity healthcare network. This role reports to the CFO and is the most senior accounting position, responsible for integrating acquired businesses, standardizing financial systems, and enabling accurate, timely financial reporting.

Responsibilities

• Lead integration of newly acquired healthcare service businesses ($1M–$100M revenue) into a unified accounting and reporting structure
• Manage the company’s first financial audit in 2026, including readiness, controls, and external auditor coordination
• Design and implement a scalable multi-entity consolidation and reporting model, including inter-company transactions
• Transition entities from cash to accrual accounting across diverse revenue streams (fee-for-service, capitation, PMPM, grants, etc.)
• Standardize chart of accounts, entity structure, and dimensionality (service line, market, payer, provider) for clear unit economics and contribution margin visibility
• Own accounting systems architecture (ERP, subledgers, payroll, T&E, banking, billing/RCM) ensuring clean data flow and a single source of truth
• Reduce monthly close timeline (currently ~20 days) through process, systems, and team improvements
• Lead transition to a modern ERP system, including implementation, migration, and integration with billing, capitation, and operational systems
• Build and manage core accounting functions: accounts payable, payroll, treasury, expense management, and tax; oversee and develop a team of approximately 10 while remaining hands-on
• Partner with revenue cycle management and billing teams to ensure accurate revenue recognition, cash reconciliation, and alignment between operational and financial reporting
• Collaborate with FP&A, operations, and market leaders to ensure financial reporting reflects business reality across entities and geographies
• Ensure compliance with healthcare-specific regulatory and reporting requirements in partnership with Legal and Compliance
• Oversee tax and regulatory filings at the entity level, including multi-state considerations and risk-bearing or provider-group requirements
• Lead and mentor a geographically dispersed accounting team through significant change, enhancing technical skills, ownership, and process discipline
• Develop a culture of documentation and continuous improvement, creating SOPs, checklists, and playbooks for recurring processes (close, reconciliations, A/P, payroll, etc.)

Requirements

• 10+ years of accounting experience, including Controller or equivalent role in a healthcare services organization
• Experience in roll-up or multi-entity environments, integrating acquired businesses into centralized accounting
• Deep knowledge of healthcare revenue models: fee-for-service billing, capitation/PMPM, delegated/global risk arrangements, value-based care
• Proven success improving close timelines, implementing systems, and upgrading accounting infrastructure in high-growth settings
• Experience implementing modern ERP systems and building scalable accounting processes
• Strong technical accounting skills managing complexity across entities, states, and revenue streams
• Proactive communicator with ability to build strong cross-functional relationships
• Hands-on and detail-oriented, with ability to design scalable systems
• Comfortable operating in ambiguity and building structure in fast-moving environments
• Experience standardizing chart of accounts and reporting structures for multi-entity, multi-state healthcare or services businesses
• Familiarity with healthcare regulatory and payor environments (delegated risk, MSOs, provider groups, health plans) and translating operational nuances into revenue and accruals
• Prior exposure to risk-bearing entities or value-based care arrangements preferred
• Comfortable working with modern tools and data environments (cloud ERP, embedded analytics/BI, workflow tools) and collaborating with engineering or data teams

Compensation & Benefits

• Salary range: $230,000 - $275,000 USD
• Stock options package
• Medical, dental, and vision insurance
• 401(k) retirement plan
• Long-term disability insurance
• Unlimited paid time off
• Life insurance
• Paid leave program

Location

This role supports a national healthcare network with operations in multiple states. Remote or hybrid work arrangements may be considered based on organizational needs.