Financial Controller

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Posted Jun 24, 2026

Remote · US · ask about Worldwide Full Time
Est. $120K – $160K/yr

Overview

A healthcare organization is seeking a Financial Controller to serve as the senior accounting leader for the organization and its affiliated entities. Reporting directly to the CFO, this role oversees accounting operations, financial reporting, treasury accounting, regulatory financial reporting, audit management, and internal controls across the enterprise.

Responsibilities

Financial Leadership & Strategy

  • Serve as a key member of the Finance leadership team and strategic partner to the CFO.
  • Lead the accounting function across all affiliated entities.
  • Support executive leadership with financial insights and recommendations.
  • Assist with strategic initiatives, financing transactions, and due diligence efforts.
  • Develop scalable accounting processes and infrastructure.

Financial Reporting & Close Process

  • Lead monthly, quarterly, and annual close processes.
  • Ensure timely and accurate GAAP-compliant financial statements.
  • Prepare and submit monthly regulatory financial filings and supporting schedules.
  • Support board, lender, and investor reporting.

Accounting Operations

  • Oversee general ledger activities, reconciliations, and journal entries.
  • Manage accounting for revenue, expenses, claims liabilities, reserves, and intercompany transactions.
  • Maintain accounting records supporting operational and regulatory reporting.
  • Manage third-party accounting team to ensure timely, accurate month-end close.

Treasury & Cash Flow Management

  • Oversee treasury accounting and cash management.
  • Lead weekly cash flow reconciliation processes across all entities.
  • Review cash flow forecasts and variance analyses.
  • Support lender reporting, covenant compliance, and financing activities.

Intercompany Accounting & Entity Management

  • Ensure monthly reconciliation of intercompany balances and transactions.
  • Maintain schedules for management fees, shared services allocations, care coordination fees, coding and quality fees, and related-party activity.
  • Ensure proper consolidation and elimination entries.

Claims Accounting & Payment Controls

  • Maintain and reconcile claims payment registers, check registers, void registers, capitation payment registers, miscellaneous disbursement registers, and provider settlement reports.
  • Ensure disbursement activity is reconciled to the general ledger and bank activity by third-party accounting team.

Audit, Compliance & Internal Controls

  • Lead annual audits and financial examinations.
  • Maintain effective internal controls over financial reporting.
  • Support regulatory reviews and compliance requirements.
  • Comply with all applicable federal, state, and local laws, as well as organizational policies, procedures, and standards, including codes of conduct and ethics requirements.

Requirements

Qualifications

Required:

  • CPA certification.
  • Bachelor’s degree in accounting or finance.
  • 10+ years of progressive accounting/finance experience.
  • Strong knowledge of GAAP.
  • Experience leading audits.

Preferred:

  • Experience in healthcare services, provider groups, MSOs, health plans, or managed care organizations.
  • Regulatory reporting experience.
  • Familiarity with Sage Intacct, Bill.com, banking platforms, and EZ-CAP.

Location

Not specified.