Controller, Finance & Banking, Financial Compliance

East River Medical Imaging, PC is an independent physician-owned radiology practice serving patients and referring providers for over fifty years. With locations on Manhattan’s Upper East Side and White Plains in Westchester County, East River Imaging is known for diagnostic expertise, advanced technology, high-quality imaging services, and a warm, caring environment. Our team is dedicated to personalized, compassionate care that puts patients at ease and builds trusted, lasting relationships.

East River Medical Imaging is now hiring an experienced Controller to join our leadership team. In this role, you will deliver accounting and financial management and oversight for the practice. Your work alongside fellow managers supporting our commitment to operational excellence and exceptional patient care through comprehensive financial reporting, planning, and robust financial controls.

The Controller will serve as the senior-most finance and accounting leader for East River Medical Imaging and will be responsible for overseeing all accounting, financial reporting, budgeting, treasury, and financial operations of the organization. Reporting directly to the CEO with a dotted-line relationship to the physician ownership group, the Controller will provide financial leadership and operational support across the practice’s multiple imaging center locations and service lines.

This role will oversee two accounting staff members as well as the Director of Revenue Cycle and will be responsible for maintaining accurate financial reporting, supporting operational decision-making, managing financial controls, and partnering with leadership on strategic and operational initiatives. The Controller will operate in a hands‑on capacity within a lean organizational structure and will be expected to participate in both strategic financial planning and day‑to‑day financial management activities.

• Reports Directly To: CEO
• Dotted-Line Reporting Relationship:
  Physician Ownership Group
• Direct Reports:
  • Two Accounting Staff Members
  • Director of Revenue Cycle (Possible)

• Oversee all accounting operations including general ledger, accounts payable, accounts receivable, cash management, payroll coordination, and financial reporting
• Manage the monthly, quarterly, and annual financial close process
• Prepare timely and accurate financial statements and supporting schedules
• Maintain accounting policies, procedures, and internal controls
• Coordinate annual financial statement reviews and tax filings with external CPA firms and advisors
• Ensure compliance with GAAP and applicable healthcare‑related financial reporting requirements
• Lead annual budgeting and periodic forecasting processes
• Develop and maintain cash flow forecasts and working capital analysis
• Prepare financial models and operational analyses to support leadership decision-making
• Analyze operational performance, profitability, reimbursement trends, and expense management opportunities
• Develop and maintain KPI and management reporting dashboards for executive leadership and physician partners

• Provide financial oversight and partnership to the Director of Revenue Cycle
• Meet regularly with A/R leadership to review metrics and evaluate progress with collections, reimbursement trends, denial metrics, payer mix, and revenue integrity initiatives
• Collaborate with operational leadership to improve financial processes and operational efficiencies
• Support physician compensation reporting and productivity analysis
• Assist with vendor negotiations, capital expenditure analysis, and contract review activities

• Oversee utilization and optimization of Sage 50 accounting software and related financial systems
• Identify and implement process improvements, automation opportunities, and financial reporting enhancements
• Maintain appropriate accounting controls and documentation procedures
• Support future system upgrades or financial infrastructure improvements as needed

• Supervise, mentor, and develop accounting team members
• Establish departmental priorities…