Controller, Accounting, Financial Reporting
Listed on 2026-08-29
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Accounting
Financial Reporting, Accounting Manager, Financial Compliance, Financial Controller
SHR Talent is partnering with a growing, multi-state healthcare organization in Nashville, TN in its search for a Controller
. This is a highly visible leadership opportunity for a technically strong accounting professional who enjoys being hands-on, solving complex accounting issues, and helping build scalable processes within an evolving organization.
The ideal candidate will be a true owner of the general ledger and comfortable operating at both the strategic and detailed levels. This individual should be able to dig into journal entries, understand and explain accounting activity, identify issues, and determine the best path forward. The Controller will report directly to senior accounting leadership and play an important role in strengthening the organization's accounting and financial reporting infrastructure.
Responsibilities- Own and oversee general ledger accounting across a complex, multi-entity organization
- Lead month-end and year-end close processes, ensuring timely and accurate financial reporting
- Review, prepare, and analyze journal entries, account reconciliations, and adjusting entries
- Research and resolve complex accounting issues while clearly communicating the rationale behind accounting treatments
- Evaluate and improve the chart of accounts to better support management and financial reporting needs
- Establish, document, and enhance accounting policies, procedures, and internal controls
- Support accounting for acquisitions, transactions, integrations, and other ad hoc initiatives
- Partner with senior accounting and finance leadership to improve reporting processes and scalability
- Identify opportunities to streamline accounting workflows and leverage ERP functionality
- Support the continued integration of newly acquired businesses and entities
- Serve as a technical accounting resource to the broader finance and accounting organization
- Assist with audit requirements and other external reporting needs as appropriate
- Bachelor's degree in Accounting, Finance, or a related field
- Significant progressive accounting experience, including experience in a Controller or comparable leadership role
- Strong technical accounting foundation with demonstrated general ledger expertise
- Experience working within a multi-entity accounting environment
- Hands-on experience preparing and reviewing journal entries, reconciliations, and adjusting entries
- Experience with ERP systems;
Sage Intacct experience is preferred but not required - Ability to evaluate and redesign accounting processes and chart-of-accounts structures
- Strong understanding of internal controls and financial reporting
- Experience in a high-growth, acquisitive, or rapidly changing organization is highly desirable
- Healthcare experience, including exposure to value-based care or provider compensation models, is a plus but not required
- Public accounting experience is beneficial but not required
- CPA is preferred but not required
- Highly accountable with a strong sense of ownership
- Comfortable rolling up their sleeves and working directly in the details
- Able to operate effectively in a fast-moving and evolving organization
- Strong problem solver who can explain the why behind accounting decisions
- Focused on producing high-quality, accurate work
- Collaborative and capable of working across accounting, finance, and operational teams
- Motivated by continuous improvement and building better processes
- This position is based in Nashville, TN and will work primarily onsite.
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