Controller (Private Equity-backed Healthcare)

CANDIDATES MUST RESIDE IN PENNSYLVANIA, DELAWARE, NEW JERSEY, NYC, OR MASSACHUSETTS TO BE CONSIDERED. Our client is a rapidly growing, private equity-backed healthcare organization seeking an experienced Controller to lead its accounting function and help build the financial infrastructure needed for its next stage of growth. This is a high-visibility leadership position partnering directly with the CFO, VP of FP&A, operational leadership, physician groups, and Revenue Cycle Management teams. You'll own the integrity of the financial statements while also helping shape processes, systems, controls, and reporting across a complex, multi-site healthcare organization. For a Controller who enjoys growth, transformation, and building scalable accounting operations, this is an opportunity to make a significant impact. What You'll Own Accounting & Financial Reporting • Lead the monthly and quarterly close, including journal entries, reconciliations, and financial statement preparation under U.S. GAAP. • Oversee the general ledger, AP, AR, payroll, fixed assets, cash management, and broader accounting operations. • Ensure financial reporting is accurate, timely, and ready for executive and Board-level review. • Prepare financial results, variance analysis, and key insights for senior leadership and the Board. • Establish and maintain accounting policies, procedures, and strong internal controls. Healthcare Accounting & Revenue • Oversee revenue recognition processes and related accounting controls. • Partner with Revenue Cycle Management to validate revenue reporting and investigate variances. • Ensure appropriate accounting treatment for healthcare transactions and multiple revenue streams. • Support accounting activities associated with physician practices, MSO operations, and other healthcare business functions. Growth, Systems & Process Improvement • Identify opportunities to automate accounting workflows and eliminate manual processes. • Improve ERP functionality, financial reporting, dashboards, and data visibility. • Help develop a scalable finance infrastructure capable of supporting continued organizational growth. • Provide accounting leadership for acquisitions, integrations, new business initiatives, and operational changes. • Strengthen processes and controls in preparation for future audits, acquisitions, and potential capital markets activity. Audit & Compliance • Serve as the primary accounting contact for external auditors. • Manage the annual audit process and coordinate requests with external advisors. • Ensure accounting practices remain aligned with U.S. GAAP and applicable regulatory requirements. • Continuously evaluate and enhance the organization's control environment. Leadership & Business Partnership • Lead and develop a team of accounting professionals, including four mid-level managers overseeing areas such as payroll and AP. • Establish a culture of accountability, collaboration, and continuous improvement. • Serve as the accounting voice to operational leaders and physician groups. • Partner with the CFO and broader Finance organization on strategic initiatives and business decisions. • Provide financial and accounting guidance as the organization expands. What We're Looking For • Bachelor's degree in Accounting or Finance. • 8–12+ years of progressive accounting experience, including significant people leadership. • Healthcare, physician practice, MSO, or multi-site healthcare experience. • Experience in a private equity-backed or high-growth organization. • Deep knowledge of U.S. GAAP, technical accounting, and financial reporting. • Proven experience managing month-end close, audits, financial statements, and internal controls. • Strong track record of developing teams and partnering with senior operational leadership. • Experience with ERP and financial reporting platforms such as Great Plains, NetSuite, Tableau, or Power BI. • Excellent analytical, communication, and change-management skills. Preferred Experience • CPA strongly preferred. • Revenue recognition and Revenue Cycle Management experience. • Combination of Big 4/public accounting and private industry experience. • Experience supporting acquisitions, integrations, or significant organizational growth.