Controller, Accounting, Financial Reporting

Work Arrangement: Flexible / Primarily Remote

A growing multi-location healthcare services organization is seeking a Controller / Accounting Manager to take ownership of its accounting function and serve as the sole internal accounting professional.

This role is ideal for a hands-on accounting leader who enjoys full ownership of the financial process, from month-end close and payroll through financial reporting, provider compensation calculations, cash management, and operational analysis.

The organization operates under a multi-entity structure and requires someone who can independently manage recurring accounting activities while helping improve processes, strengthen controls, and support long-term growth initiatives. The position offers direct interaction with executive leadership and significant visibility into the business.

This is not a role for someone who wants to manage a large accounting team. It is designed for an accountant who enjoys being close to the work, building processes, and taking ownership of outcomes.

• Own the monthly close process across multiple legal entities
• Prepare journal entries, accruals, account reconciliations, and supporting schedules
• Reconcile all balance sheet accounts on a recurring basis
• Prepare monthly financial statements and operational reporting packages
• Deliver budget-to-actual analysis and variance explanations
• Maintain audit-ready accounting records and documentation
• Support annual audits and external accounting reviews

• Process payroll and payroll-related accounting activities
• Maintain payroll codes, deductions, and related controls
• Reconcile payroll liabilities and benefit deductions
• Support administration of employee retirement and benefit programs
• Coordinate payroll-related compliance and reporting requirements
• Manage annual payroll reporting and tax documents

• Support compensation calculations based on productivity, production, or contract-driven arrangements
• Review operational performance metrics and related financial data
• Validate source data and maintain compensation schedules
• Assist leadership with financial analysis and business decision support

• Manage accounts payable workflows, payment approvals, and vendor administration
• Monitor daily cash activity and bank reconciliations
• Support intercompany transactions and cash transfers
• Maintain internal controls and payment review procedures
• Evaluate automation opportunities and process improvements
• Prepare 1099s, sales tax filings, and annual compliance requirements
• Coordinate with outside tax advisors and external firms

• Develop and document accounting procedures
• Improve workflows and financial controls
• Support future corporate transactions and due diligence efforts
• Enhance reporting, forecasting, and operational visibility
• Build a finance function capable of supporting future growth

• Bachelor's degree in Accounting, Finance, or related field
• 5+ years of progressive accounting experience
• Experience owning a full month-end close process
• Experience preparing financial statements and supporting schedules
• Experience processing payroll and reconciling payroll accounts
• Strong general ledger, reconciliation, and financial reporting skills
• Advanced Excel skills
• Ability to work independently without a large support structure
• Strong written and verbal communication skills

• Professional services, physician group, dental group, veterinary group, behavioral health, physical therapy, or multi-site service business experience
• Multi-entity accounting experience
• Provider, production-based, productivity-based, commission, or contract compensation experience
• Audit readiness or audit support experience
• CPA or CPA-track candidate
• Experience as the sole accounting or finance professional within an organization

• Experience with payroll administration platforms
• Budget ownership
• Financial modeling and operational analysis
• Experience supporting future acquisition, transaction, or private equity readiness initiatives

• Accurate and timely monthly closes
• Financial statements delivered consistently and on schedule
• Payroll processed accurately and on time
• Clean reconciliations and fully supported balance sheet accounts
• Clear operational reporting for leadership
• Improved accounting procedures and…