Overview
This role involves leading the accounting operations and financial reporting for a healthcare organization focused on delivering virtual, community-based outpatient mental health care. The Controller will ensure the accuracy and integrity of the general ledger, month-end close, revenue recognition, and annual audit processes. Reporting to the Head of Finance, the Controller will build documented, repeatable processes and controls to support scaling the finance function and enhance financial reporting and analytics capabilities.
Responsibilities
- Own the general ledger, month-end close, and accuracy of financial statements including accounts payable and receivable.
- Maintain, document, and continuously improve accounting policies, procedures, and internal controls.
- Manage revenue recognition across multiple revenue streams such as fee-for-service, PMPM, and value-based arrangements with clear documentation and repeatable processes.
- Ensure consistent and structured financial reporting across systems and tools, reconciling figures reliably from source to report.
- Lead the annual budgeting and forecasting process; report significant variances and develop dashboards for real-time insights.
- Provide financial analysis to support capital investments, pricing, and contract negotiations.
- Maintain audit readiness, prepare audit workpapers, and serve as primary contact for the annual audit.
- Oversee administration of third-party payroll provider relationships.
- Ensure compliance with local, state, and federal accounting and financial reporting requirements.
- Collaborate with Finance leadership to enhance reporting and analytics as the organization scales.
- Build, mentor, and grow the accounting team as transaction volume and headcount increase, focusing on defined processes.
Required Qualifications
- Bachelor's degree in Accounting or Business Administration.
- Minimum of eight years of related accounting experience.
- Deep knowledge of GAAP accounting and revenue recognition in a multi-payer healthcare environment.
- Proficiency with accounting and financial reporting software; experience with Business Central (Dynamics 365) and reporting tools such as Looker preferred.
- Strong analytical skills and ability to translate financial data into clear, actionable insights.
- Experience working in fast-paced, early-stage or high-growth companies.
- Excellent written and verbal communication, organizational, and time-management skills.
- Ability to work independently and collaboratively across an organization.
Preferred Qualifications
- Certified Public Accountant (CPA) designation.
- Knowledge of healthcare industry accounting, including MSO-PC structures, physician-practice revenue reconciliation, value-based payment models, and Medicare Advantage plans.
- Experience with ADP Workforce Now Payroll.
Work Environment
- This is a remote position.
- Up to 15% travel may be required for team meetings and company events.
Physical Demands
- Primarily a sedentary role requiring extended periods of computer use, talking, and hearing.
Hours
- Full-time position, minimum 40 hours per week, Monday through Friday.
- Additional hours may be required to meet business and close-cycle deadlines.
Compensation and Benefits
- Base salary range: $140,000 to $160,000, commensurate with experience.
- Performance bonus available.
Equal Employment Opportunity
The organization is committed to a diverse and inclusive workplace and complies with all applicable equal employment opportunity laws. Employment decisions are made without regard to race, religion, ethnicity, color, sex, sexual orientation, gender identity or expression, transgender status, reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status, or any other protected status under applicable laws.