Interim CAO​/Controller; Remote | Healthcare

* updated 10-21-26 for compensation increase Interim Controller/CAO (Remote | Healthcare)

Location: Remote with travel to the Southeast US approximately 2x per month
Engagement Type: Contract, approximately 6 months (with permanent potential)
Compensation: $5000 - $7000/week
Schedule: Approximately 40-45 hours per week, with additional hours potentially required during close and critical integration periods
Other: No 3rd parties or C2C candidates. US Candidates only.

Vaco Atlanta is partnering with a large, multi-location, multi-entity healthcare organization to identify an experienced Interim Controller for a high-impact leadership engagement. We're looking for a Strategic Accounting Leader for this role.

This individual will step into a critical accounting leadership role during a period of significant organizational change, integration, and systems transformation. The Interim Controller will be responsible for stabilizing the accounting function, strengthening team accountability, accelerating the financial close, improving controls and reporting processes, and ensuring day-to-day accounting deliverables remain on track throughout the transition.

The ideal candidate is a strategic accounting leader who has successfully operated within a large, matrixed organization undergoing significant transformation. This position requires someone who can quickly assess an accounting organization, establish priorities and accountability, delegate effectively, and drive execution while maintaining a strong relationship with finance, operations, IT, and executive leadership.

• Provide immediate leadership and oversight of the accounting function within a large, complex, multi-site healthcare organization.
• Lead and develop a sizable accounting team, establishing clear ownership, deadlines, accountability, and escalation procedures.
• Drive an accurate and accelerated month-end close process, identifying and eliminating bottlenecks that delay financial reporting or business operations.
• Oversee general accounting activities, including general ledger, account reconciliations, journal entries, financial reporting, and corporate reporting requirements.
• Lead accounting activities associated with a significant organizational integration, including the alignment of processes, reporting requirements, controls, and financial systems.
• Support an ERP and financial systems transition while ensuring continuity of accounting operations and the integrity of financial information.
• Implement and strengthen internal controls, accounting policies, procedures, and supporting documentation in an environment experiencing significant change.
• Evaluate the accounting team's organizational structure, capabilities, workflows, and responsibilities and implement practical improvements to productivity and execution.
• Delegate responsibilities effectively while developing accounting leaders and ensuring critical deliverables are completed accurately and on schedule.
• Partner closely with the CFO and cross-functional leaders across finance, operations, IT, and other areas to resolve issues and maintain business continuity during the transition.
• Identify accounting and reporting risks, dependencies, and resource constraints and communicate them clearly to executive leadership.
• Improve processes and establish sustainable accounting practices that can be successfully transitioned to permanent leadership.
• Support expanded reporting requirements associated with a large corporate environment and ensure accounting processes can meet increasingly compressed reporting deadlines.
• Provide hands-on leadership during critical close, integration, and transformation activities rather than functioning solely in an advisory capacity.