Sr.Controller

Overview

The organization is seeking a seasoned Controller to own and lead a full books clean-up for a growing multi-location, multi-entity, clinic-based mental healthcare business in the US. Reporting directly to the CFO, this role will set accounting methodology, make judgment calls, and deliver close-ready books using documented, repeatable processes.

Responsibilities

• Lead the clean-up end to end: define the plan, priorities, and timeline; serve as the CFO’s go-to partner on accounting matters.
• Revenue cycle & ASC 606:
  • Set revenue recognition policy for contractual allowances, denials, and patient responsibility.
  • Own reconciliation of billing and EHR data to the GL.
• AR clean-up:
  • Design a supportable AR reserve methodology.
  • Lead the rebuild and reconciliation of AR by entity, location, and payer, including unapplied cash.
• AP & accruals:
  • Establish cutoff and month-end accrual policies.
  • Oversee AP subledger clean-up and vendor reconciliations.
• Payroll:
  • Define accrual methodology for payroll, benefits, bonuses, and provider compensation.
  • Ensure payroll-related amounts reconcile to the GL.
• ASC 842 leases:
  • Lead lease inventory.
  • Build and maintain ROU asset and lease liability schedules.
• Inventory & GL review:
  • Correct medical supply inventory accounting.
  • Sign off on balance sheet reconciliations.
  • Review the P&L.
• Intercompany & consolidations:
  • Own intercompany accounting and the consolidation process across all entities.
• Processes & controls:
  • Document processes and internal controls so the close is repeatable and audit-ready.

Requirements

• 8+ years of accounting experience, including 3+ years in a Controller or Assistant Controller role
• Healthcare industry experience in multi-site or clinic-based organizations (must)
• QuickBooks proficiency (must)
• Proven track record leading books clean-ups or close remediation projects
• Deep knowledge of US GAAP, especially ASC 606 and ASC 842
• Strong experience with intercompany accounting and multi-entity consolidations
• Ability to work independently and present findings to executive leadership
• Advanced English

Preferred Qualifications

• CPA or equivalent certification
• Experience with revenue cycle management (RCM) or EHR billing systems
• Background in mental or behavioral healthcare
• Audit readiness or Big 4 experience

Location

United States (US)