Financial Controller

Overview

We are seeking a seasoned Healthcare Controller to support a rapidly scaling healthcare platform operating in a multi-entity, roll-up environment. This is a hands-on, controller-level role designed for professionals who have managed complexity, consolidation, and growth at scale. The ideal candidate brings deep healthcare accounting experience, with a strong preference for Dental Service Organization (DSO) roll-up backgrounds.

This role is not entry-level and requires the ability to ramp quickly in a fast-paced, tech-enabled environment.

Key Responsibilities

Financial Leadership & Oversight

• Own day-to-day accounting operations across a multi-entity healthcare platform
• Lead monthly, quarterly, and annual close processes
• Ensure accuracy and integrity of financial statements in accordance with GAAP
• Serve as the primary accounting partner to senior leadership and external stakeholders

Consolidations & Roll-Ups

• Manage entity-level and consolidated financial reporting
• Oversee accounting integration for new acquisitions and roll-ups
• Standardize accounting policies, procedures, and controls across entities
• Support post-acquisition accounting alignment and system integration

Healthcare-Specific Accounting

• Apply healthcare accounting principles across operating entities
• Manage revenue recognition, provider compensation structures, and cost allocations
• Partner with operations to support growth initiatives and scalability

Systems, Process & Controls

• Leverage modern accounting systems and tools to improve efficiency and visibility
• Design and enhance internal controls as the organization scales
• Identify process gaps and implement solutions in a high-growth environment
• Collaborate cross-functionally with FP&A, operations, and executive leadership

Required Experience & Qualifications

Must-Have

• Controller-level experience (Grace-caliber; proven senior ownership)
• Healthcare accounting experience required
• Extensive experience in multi-entity environments
• Hands-on experience with consolidations and roll-ups
• Ability to operate independently in complex, fast-moving organizations
• Strong technical accounting knowledge and problem-solving skills
• Highly tech-versed with the ability to ramp quickly on new systems

Strongly Preferred

• DSO (Dental Service Organization) roll-up experience — top priority
• MSO (Management Services Organization) experience — secondary preference

Bonus / Nice-to-Have

• Medical or pharmaceutical accounting exposure
• Experience with GLP-1 programs or medical weight-loss clinic models
• Exposure to PE-backed or investor-driven healthcare platforms