Financial Controller

Patient Care EMS is seeking an experienced, hands-on Controller to lead accounting operations across a growing, multi-entity and multi-state healthcare organization. Reporting directly to the CFO, this person will oversee the close, financial reporting, healthcare revenue recognition, internal controls, treasury support, audits and accounting-system improvements.

The ideal candidate has spent the past three to five years as a Controller for a healthcare organization with approximately $300 million to $350 million in annual revenue. This role requires someone who can operate strategically while remaining close to the details, lead a lean accounting team and build scalable processes in a fast-moving, private-equity environment.

• Own the monthly, quarterly and annual close across multiple entities, producing accurate GAAP-compliant financial statements on an accrual basis.
• Maintain and improve a 10-business-day close cycle.
• Oversee healthcare and EMS revenue recognition, including ASC 606, contractual allowances, bad debt, payer-mix adjustments and third-party reimbursement timing.
• Calculate and review IBNR accruals related to self-insured healthcare, workers’ compensation, automobile claims and other insurance programs.
• Prepare and review journal entries, balance-sheet reconciliations, accruals and supporting schedules while maintaining a clean, audit-ready general ledger.
• Lead and develop an accounting team of fewer than 10 employees across AP, AR, payroll, revenue accounting and general accounting.
• Build and maintain an appropriate AP approval hierarchy, purchasing controls and payment workflows.
• Identify opportunities to automate accounting processes, reduce manual work and improve the accuracy and speed of financial reporting.
• Bring Net Suite implementation experience and help lead system configuration, data migration, chart-of-accounts design, workflows, controls and reporting.
• Oversee fixed-asset accounting, capital projects and lease accounting under ASC 842.
• Manage consolidated reporting for multi-entity and multi-state operations.
• Prepare weekly cash-flow reporting and partner with the CFO on liquidity planning, forecasting and cash strategy.
• Lead the annual budgeting process in partnership with operational leaders.
• Prepare management reporting packages, operating analyses and ad hoc financial reporting for the CFO, executive leadership and investors.
• Lead the annual financial-statement audit and coordinate lender, insurance, tax, regulatory and payer-related audits.
• Develop, document and enforce accounting policies and internal controls.
• Partner with brokers, actuaries and auditors on insurance renewals, exposure reporting, claims activity and risk-management initiatives.
• Support acquisitions, including due diligence, purchase accounting, opening balance sheets, valuation coordination and post-acquisition integration.
• Work closely with billing and revenue-cycle teams to ensure accurate healthcare reimbursement accounting.
• Communicate effectively with the CFO, executive leadership, private-equity partners, auditors and operational leaders.

• Bachelor’s degree in Accounting or Finance.
• Three to five years of recent Controller experience, preferably with a healthcare organization of comparable size and complexity.
• Strong healthcare accounting experience, including revenue recognition and revenue-cycle accounting.
• Experience with multi-entity and multi-state operations.
• Experience leading a lean accounting team.
• Demonstrated success improving the close process and introducing automation into the accounting function.
• Experience preparing or reviewing IBNR and other insurance-related accruals.
• Net Suite implementation or major optimization experience.
• Experience…