Full Job Description
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.
Responsibilities:
• 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
• 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.
• Must reside in the Los Angeles, CA area
• Prior Controller or Assistant Controller experience in a fast-growing healthcare delivery business
• Prior experience implementing or managing Sage Intacct accounting software is preferred
• 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 plusThis position offers the opportunity to work in a supportive environment where you can make a meaningful impact on the lives of individuals seeking mental health care.
The pay range for this role is:
185,000 - 200,000 USD per year (Hybrid (Westlake Village, CA, US))