Controller, Finance & Banking, Financial Manager

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Germantown, TN, US

The Controller is responsible for overseeing all financial and accounting operations for the orthopedic practice and affiliated entities. This role includes producing periodic financial reports, maintaining an effective system of accounting records, managing cash flow, and implementing a comprehensive set of controls and budgets to mitigate financial risk. Reporting directly to the Chief Financial Officer (CFO), the Controller also plays a key leadership role by managing the accounting staff, developing budgets, analyzing financial performance, and supporting strategic decision-making with timely, accurate financial data.

Additionally, the Controller ensures that reported financial results comply with generally accepted accounting principles (GAAP), and other applicable regulatory requirements. Performs other duties as assigned.

• Lead day-to-day accounting operations, including general ledger, purchasing, accounts payable, payroll, and financial reporting.
• Prepare monthly, quarterly, and annual financial statements in accordance with GAAP and organizational standards.
• Manage and refine internal controls, policies, and procedures to ensure compliance and financial integrity.
• Support the CFO in budgeting, forecasting, and long‑range financial planning.
• Analyze practice performance, physician productivity, and departmental profitability; identify trends and recommend strategies for improvement.
• Coordinate audits and act as primary liaison with external auditors and regulatory agencies.
• Supervise accounting team members; provide training, guidance, and performance evaluations.
• Ensure accurate reporting and conformance to financial policies and transactions; coordinate the preparation of regulatory and tax reporting.
• Research accounting issues for compliance.
• Guide financial decisions by establishing, monitoring, and enforcing policies and procedures; manage and comply with local, state and federal government reporting requirements and tax filings.
• Protect assets by establishing, monitoring, and enforcing internal controls.

• Collaborate cross‑functionally with operations, clinical leadership, and administrative teams to align financial goals with organizational objectives.
• Assist the CFO with special projects, financial models, and ad hoc reporting needs.
• Regular and predictable attendance.
• Ability to work in a cooperative manner with others.

• Responsible for monitoring payroll documents to ensure employees receive accurate compensation per pay period.
• Reconcilling cost allocations, with holdings, and liabilities.

Accounting Department

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education: Advanced degree in Accounting or MBA. Licensed CPA preferred.

Experience: 10+ years of overall combined accounting and finance experience. Billing and healthcare experience required. Non‑profit accounting is a plus.

Skills: Presentation skills, training management, motivating others, fostering teamwork, coaching, and motivation. In addition, experience in Microsoft Suite (Word, Excel, and PowerPoint).

Other

Skills:

Proven working experience as a Financial controller. Thorough knowledge of GAAP and Cash Basis. Experience with creating financial statements. Experience in general ledger functions and the month‑end/year end close process. Excellent accounting software user and administration skills. Excellent communication and leadership skills. Ability to plan, multi‑task and manage time effectively.

• Active Listening-Abilitytoactivelyattendto,convey,andunderstandthecommentsandquestionsofothers.
• Customer…