About the role
We are seeking an exceptional Controller who has operated successfully inside fast-growing, Venture- or PE-backed healthcare delivery businesses and understands what “good” looks like in a scaling provider platform. This is not a maintenance accounting role. We are looking for a highly capable operator who can build processes, improve controls, elevate reporting quality, and help create an institutional-grade finance function.
The ideal candidate combines strong technical accounting expertise with operational intensity, healthcare fluency, and the ability to thrive in a dynamic, high-accountability environment. Experience with behavioral health, physician practice management, MSOs, revenue cycle complexity, and multi-entity operations is highly valued.
Reporting to the CFO, this role will work closely with executive leadership and play a critical role in preparing the business for continued scale.
What you'll do
- Lead all aspects of the monthly, quarterly, and annual close process with a focus on speed, accuracy, and scalability
- Build and manage a disciplined accounting function across multiple entities and states
- You will oversee:
- Accounts Payable & Accounts Receivable
- Payroll, General Ledger and Reconciliations
- Accruals and journal entries
- Financial reporting
- Â Manage accounting within PC/MSO structures, including intercompany accounting and consolidation
- Partner closely with operations and revenue cycle teams to improve visibility into collections, claims, reimbursement trends, and cash flow
- Help establish KPI-driven reporting and operational accountability across the organization
- Oversee relationships with external tax advisors and ensure timely, accurate completion of all federal, state, and local tax filings across multiple entities and jurisdictions
- Coordinate and manage the annual financial audit process with external auditors, including preparation of audit support schedules, reconciliations, and required documentation
- Support ongoing improvement of financial controls and processes to meet institutional-quality reporting standards
Qualifications
- 10-15+ years of progressive accounting and finance experience
- A bachelor’s degree in Accounting required. CPA and/or MACC is strongly preferred.
- Prior Controller or Assistant Controller experience in a fast-growing healthcare delivery business
- Los Angeles, CA area required
- Deep understanding of:
- Healthcare claims, reimbursement and Revenue Cycle Management
- Medical billing operations
- Multi-entity accounting
- Multi-state operations
- Experience operating within Venture- or PE-backed healthcare organizations strongly preferred
- Familiarity with PC/MSO structures and provider organization accounting
- Strong command of GAAP and healthcare accounting best practices
- Experience with QuickBooks Online, Rippling, and modern accounting/ERP systems
- Experience managing external audit processes and coordinating with third-party audit firms
- Familiarity with multi-state tax compliance and healthcare-related tax considerations
- Strong understanding of audit preparedness, internal controls, and financial documentation standards
- Experience supporting diligence processes, lender reporting, or investor-related financial requests is a plus
Candidate Profile
- Builder mentality with strong operational instincts
- Comfortable operating in environments where processes are still evolving.
- High accountability and ownership orientation
- Strong analytical rigor and attention to detail
- Able to identify problems proactively rather than reactively
- Comfortable interacting with executive leadership, investors, auditors, and banking partners
- Bias toward execution and continuous improvement
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