About the RoleAs our Controller, you will own Greenbrook Medical's end-to-end accounting function and build the financial foundation that enables the company to scale.
This is not a traditional accounting role focused only on closing the books. You will be accountable for the integrity of our financial reporting and own the systems, processes, and controls that support our accounting operations, financial compliance, and continued growth.
Reporting to the VP of Finance, you will lead core accounting operations, including the close and financial reporting processes, while strengthening the financial infrastructure needed to support a fast-growing, multi-clinic healthcare organization. You will partner across the organization to bring order to complexity, improve how we operate, and ensure leaders have accurate and reliable financial information to make better decisions.
This role is ideal for someone who enjoys being a hands-on builder: someone who can dive into the details, create scalable processes, and elevate a finance function from good to great.
Location: New York City or Chicago preferred (Hybrid). Open to remote candidates.
What You'll DoAs Controller, you will be the senior accounting leader at Greenbrook and have ownership of the company's accounting function, including close, financial reporting, tax and compliance, accounting operations, internal controls, and audit.
Own Accounting, Close, and Financial Reporting:
You will own Greenbrook's end-to-end accounting function and ensure our financial records are accurate, timely, and reliable.
- Own the full monthly, quarterly, and annual close process, including journal entries, accruals, reconciliations, consolidations, and preparation of financial statements.
- Own the general ledger, balance sheet, and financial reporting across all entities, ensuring the completeness and integrity of Greenbrook's financial records.
- Establish and maintain accounting policies and procedures in accordance with GAAP, including appropriate treatment of complex or significant transactions.
- Own revenue accounting and reconciliation across payer arrangements, including capitation and value-based contracts, as well as accounting for medical claims liabilities, settlements, and other risk-related balances.
- Manage external accounting and bookkeeping partners while maintaining internal ownership and accountability for the accuracy and timeliness of their work.
Build Scalable Financial Systems and Controls:
You will build the financial infrastructure and controls environment needed to support Greenbrook's continued growth.
- Design and maintain scalable accounting processes, internal controls, approval workflows, and financial policies.
- Own core accounting operations, including accounts payable, procure-to-pay, cash accounting, bank reconciliations, payroll accounting, corporate cards, expense management, and related balance sheet processes.
- Partner with the VP of Finance to establish spend approval policies and ensure company spending is appropriately authorized and aligned with approved budgets.
- Own and continuously improve the accounting systems and financial technology stack, identifying opportunities to automate manual processes and improve efficiency and data quality.
- Assess accounting resource needs and build the appropriate combination of internal talent, external partners, systems, and processes as Greenbrook scales.
Own Tax, Audit, and Compliance
You will ensure Greenbrook's financial and compliance obligations are completed accurately and on time.
- Own federal, state, and local tax compliance, reporting, filings, and payments, coordinating with external tax advisors and other partners as appropriate.
- Own finance-related legal entity compliance, registrations, annual reports, 1099 reporting, and other recurring federal and state requirements.
- Maintain a comprehensive compliance calendar to ensure required tax, financial, regulatory, and entity filings and payments are completed accurately and on time.
- Own annual audit and external financial reporting processes and maintain year-round audit readiness.
- Serve as the primary Finance point of contact for auditors, tax advisors, payroll providers, and other external accounting partners.
Partner on Value-Based Care and Business Performance
You will bring strong financial discipline to Greenbrook's value-based care model and partner with leaders to improve business performance.
- Own and improve financial processes related to risk contracts, including payer settlements, contestations, cost reallocations, stop-loss activity, and reserve fund reconciliations.
- Partner with Revenue Operations, Population Health, and clinical teams to ensure payer and financial data are complete, accurate, and appropriately reflected in the financial statements.
- Partner with the VP of Finance on budgeting, forecasting, budget-to-actual reporting, variance analysis, and financial planning.
- Provide financial and accounting insights that help leaders understand performance, manage spending, and improve financial accountability.
- Support the financial evaluation of new clinics, markets, payer arrangements, health system partnerships, and other growth initiatives.
What Success Looks Like- Financial reporting is accurate, timely, and trusted by leadership.
- The monthly close process becomes faster, cleaner, and more scalable.
- Tax, audit, and compliance requirements are proactively managed, with clear ownership and no missed deadlines.
- Finance systems, processes, and controls support growth rather than slow it down.
- Spend decisions are disciplined and aligned with company priorities.
- Managed care financial operations are accurate, organized, and proactively managed.
- Leadership has the visibility needed to make confident operating decisions.
About YouYou bring:
- 8-12 years of accounting and financial operations experience across corporate or multi-entity environments.
- 3-5 years owning core accounting functions including close, financial reporting, audits, reconciliations, tax compliance, and financial controls.
- Experience managing outsourced finance partners such as bookkeeping, payroll, tax, benefits provider, or other accounting providers, while maintaining internal accountability for their work.
- Strong technical accounting skills with a track record of improving accuracy, efficiency, and operational rigor.
- Experience building and improving processes, systems, and controls in environments where things are evolving quickly.
- Experience with accounting systems and financial technology, including implementing, upgrading, or optimizing ERP and related finance tools.
- Strong attention to detail with the ability to balance precision with speed.
- Clear communication skills and the ability to partner effectively across the organization with both financial and non-financial stakeholders.
You'll stand out if you:
- Are a CPA or have equivalent public accounting and/or technical accounting experience.
- Have experience in healthcare, value-based care, managed care, or MSO-PC environments.
- Have worked in a startup or high-growth company where you built the accounting and finance infrastructure from the ground up.
- Have experience managing multi-entity accounting complexity.
- Have supported risk-bearing contracts, capitation models, or healthcare financial operations.
- Enjoy operating as a hands-on builder who can both solve today's problems and design tomorrow's systems.
Why You'll Love Working HereMake An Impact Every DayBe part of a mission-driven team transforming primary care for seniors. Your work directly supports better outcomes, better coordination, and better experiences for some of the most vulnerable patients in healthcare.
Work That Actually MattersWe're not a volume-driven system, we're accountable for outcomes. That means your work directly contributes to quality care, patient satisfaction, and meaningful improvements in how healthcare is delivered.
Build And Grow With UsWe're building more than a company, we're building careers. As we expand, you'll have opportunities to grow your skills and take on new challenges.
Strong, Transparent Compensation & Benefits- $175,000-$205,000 base salary, based on experience and qualifications
- Generous annual performance bonus
- Health, dental, and vision insurance
- Paid time off
- 401(k) with company match
We believe in fair, equitable pay that reflects your experience and impact.
Our Selection ProcessApplication → Initial interview → Skills/experience interview → Peer interviews → Values interview → Case study interview → References
