Director, Controllership​/Accounting

Director of Controllership / Accounting – Healthcare Staffing

Location:

Delhi NCR, Work from Home

Position Summary
The Director Controller supports the VP of Controllership in managing the general accounting and financial reporting functions for a healthcare staffing organization. This role is responsible for ensuring accurate and timely financial close, GAAP-compliant reporting, and effective internal controls in a payroll-intensive, multi-state healthcare staffing environment. The position requires strong technical accounting expertise, particularly in payroll, revenue recognition, accruals, and regulatory compliance specific to healthcare staffing operations.

Core Responsibilities
Financial Close & GAAP Reporting
Manage and execute monthly, quarterly, and annual close processes, including journal entries, account reconciliations, and financial statement preparation.
Ensure financial statements are prepared in accordance with U.S. GAAP.
Review balance sheet accounts with emphasis on payroll-related liabilities and reserves.
Perform analytical reviews and explain period-over-period and budget-to-actual variances.
Payroll & Labor Cost Accounting
Oversee accounting for multi-state payroll, including wages, overtime, shift differentials, stipends, bonuses, and incentives.
Ensure proper accrual of payroll, payroll taxes, benefits, paid time off, medical insurance and workers’ compensation.
Account for travel, housing, and other clinician-related reimbursements in accordance with company policy and applicable tax rules.
Reconcile payroll sub-ledger and third-party payroll systems to the general ledger.
Revenue Recognition & Gross Margin
Ensure accurate revenue recognition for healthcare staffing arrangements.
Reconcile billing, payroll, and revenue systems to the general ledger on a regular basis.
Monitor and analyze gross margin by client, specialty, and clinician, identifying accounting-driven variances.
Accruals, Reserves & Estimates
Prepare and review accruals for recruiter commissions, clinician bonuses, contract completion incentives, and other contingent compensation.
Evaluate and maintain the allowance for doubtful accounts based on collection trends and client risk.
Support estimates related to payroll tax exposures, claims, and other contingent liabilities.
Compliance & Controls
Support internal controls over payroll, billing, and financial reporting.
Maintain accounting policies and procedures relevant to healthcare staffing.
Serve as a primary accounting contact for external auditors and tax advisors.
Systems & Process Improvement
Support accounting integrations between ATS, timekeeping, billing, and payroll platforms.
Identify and implement process improvements to strengthen close timelines, reconciliation quality, and audit readiness.
Assist with system implementations or enhancements (e.g., ATS, payroll, etc.).
Team Leadership
Review work product of accounting staff for accuracy and completeness.
Provide technical guidance and training on healthcare staffing accounting matters.
Act as a backup to the Controller as needed.

Qualifications
Bachelor’s in commerce (Hons) from a reputed university.
Charted Accountant from ICAI or US-CPA is a must to have. If candidate has both, it’s an added advantage.
At least 13 years of progressive core accounting experience.
Strong understanding of U.S. GAAP and financial close processes.
Significant experience with payroll accounting and labor-driven cost structures.
Advanced MS - Excel skills as necessary for the job.
Work timing – 8AM to 5PM EST which is India night shift is a mandatory requirement
Quarterly meeting in person with CFO held in Delhi – NCR, should be able to accommodate to travel.

Preferred
Healthcare staffing, healthcare services, or professional services experience.

Experience with multi-state payroll and complex payroll accruals.
ERP and payroll system experience (e.g., Sage Intacct, Paylocity, Bullhorn, or similar).

Key Attributes
Strong technical accounting judgment
High attention to detail in a high-volume environment
Ability to manage complex accruals and estimates
Clear communication with auditors and internal stakeholders