Controller, Healthcare

Position Title: Controller, Healthcare
Reports To: Chief Financial Officer
Employment Type: Full-Time
Location: Brooklyn, NY (onsite, five days a week)
Salary Range: $125,000 to $140,000, plus annual bonus

Maximize Health is a private equity-backed healthcare company serving senior care facilities. As our Controller, you will work directly with the Chief Financial Officer (CFO) and own the day-to-day accounting: the close, the reconciliations and the controls. This is a high-visibility seat in a growing company, with direct exposure to leadership and investors, and a chance to build processes the business will run on for years.

For someone who delivers, there is room to grow into a senior finance leadership role as the company grows.

Maximize Health operates under an MSO-PC (management services organization and professional corporation) structure. The Controller runs day-to-day accounting across the management company and its affiliated professional corporations. We are looking for a hands-on accountant with healthcare revenue cycle experience, ideally from an RCM company, MSO or healthcare provider, or from advising healthcare clients at a bank, accounting firm or consulting firm.

The ideal candidate has strong Quick Books skills, learns quickly and takes ownership of the numbers.

• Manage the general ledger, accounts payable, accounts receivable and payroll processing in Quick Books
• Lead the monthly, quarterly and annual close, including bank, credit card and balance sheet reconciliations
• Prepare financial statements and supporting schedules for the CFO’s review and for reporting to leadership and investors

• Record and reconcile intercompany transactions, management fees and shared cost allocations under the management services agreement (MSA)
• Prepare entity-level and consolidated financial statements, and tie them monthly across every entity
• Support the financial separation and documentation the MSO-PC structure requires, including written intercompany agreements

• Partner with billing to reconcile insurance payments, track AR aging, collections, denials and payer reimbursement, and record revenue accurately
• Monitor daily cash position and support cash flow forecasting
• Support budgeting and forecasting, including budget vs. actual and variance analysis
• Prepare provider, location and service line reporting to support profitability analysis

• Maintain and strengthen internal controls, accounting policies and procedures
• Coordinate with external accountants, auditors and tax preparers, and prepare audit and tax schedules
• Work with bookkeeping and billing staff to keep records accurate and on time
• Improve accounting systems, workflows and reporting as the organization grows

In the first twelve months, success looks like:

• The monthly close delivered on a published calendar, every month
• The books tying monthly across the management company and every affiliated professional corporation
• Facility-level profit and loss reporting produced as a matter of course
• Days to bill and aged receivables reduced against targets set with the CFO
• Every intercompany arrangement documented in writing
• Audit-ready financials and supporting schedules

• Bachelor’s degree in Accounting, Finance or a related field
• 4+ years of accounting experience, ideally at an RCM company, MSO or healthcare provider. Public accounting, consulting or banking experience with healthcare clients will also be considered
• Advanced Quick Books experience
• Hands-on experience with healthcare insurance billing and revenue cycle (claims, payments, denials, payer reimbursement)
• Strong command of month-end close, accruals, reconciliations and GAAP financial reporting
• Advanced Excel skills
• Sharp, organized and self-directed, and comfortable partnering with leadership

• Experience at an RCM company or MSO
• Certified Public Accountant (CPA) or CPA track
• Multi-entity accounting, intercompany reconciliations or consolidations
• Experience with healthcare clients, physician practices or private equity-backed companies

Competitive salary, health insurance, retirement investment opportunity, paid time off and paid holidays.