Controller - Healthcare

Are you a technically strong accounting leader looking for an opportunity to make a real impact? This newly created Controller position offers the chance to help shape the future of the accounting function for a well‑established healthcare organization in Middle Tennessee. You'll take ownership of the accounting function while helping modernize processes, strengthen internal controls, and build scalable systems that will support the organization's continued growth.

• Lead the day‑to‑day accounting operations, including general ledger, month‑end close, AP, payroll accounting, fixed assets, and cash management.
• Prepare accurate monthly, quarterly, and annual financial reporting.
• Oversee the annual audit and serve as the primary liaison with external auditors.
• Evaluate current processes and identify opportunities for automation, efficiency, and improved controls.
• Partner with leadership on budgeting, forecasting support, and financial analysis.
• Lead and mentor an established accounting team while helping build a best‑in‑class accounting function.

• 7+ years of progressive accounting experience with leadership responsibilities.
• Strong technical accounting and GAAP knowledge.
• CPA and public accounting experience are preferred but not required.
• Healthcare experience is a plus but not required.
• Someone who enjoys improving processes, building structure, and taking ownership rather than simply maintaining the status quo.
• A proactive, collaborative leader who can work independently and thrive in an evolving environment.

• Newly created role with the opportunity to make a lasting impact.
• Report directly to a great CFO who values autonomy and trusts his team.
• Hybrid flexibility with an excellent work‑life balance and very limited overtime.
• Outstanding benefits, including 100% employer‑paid medical coverage for employees and their families
  , a fully funded HSA, and strong retirement contributions.
• Stable organization that continues to invest in technology, infrastructure, and future growth.

Highspring LLC (d/b/a Vaco by Highspring) and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") are committed to the full inclusion of all qualified individuals and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by applicable law.

The company is also committed to ensuring that persons who need them are provided with reasonable accommodations; if an accommodation is needed to participate in the job application or interview process, please contact

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.