Controller

9 hours ago

Brentwood, Tennessee, United States Synergy Search Full-time
I am looking for a Controller to join a rapidly growing, investor-backed healthcare services organization with multi-state operations, scaling from roughly $250M toward $350M+ in revenue. Why this role?
* Build a modern accounting function from the ground up, including a full NetSuite implementation led by a CFO who has done it several times
* Join early in a growth chapter with significant investment in technology, systems, and infrastructure
* Real autonomy: the CFO is looking for a trusted partner to own accounting, not someone to micromanage
* Competitive base, annual bonus, and equity participation
* High visibility with executive leadership, the board, and investors
* Headquartered in the Brentwood/Franklin, TN area

Key Responsibilities
* Own the monthly, quarterly, and annual close across multiple entities, documenting the process with SOPs and driving toward a 10-business-day close
* Help lead the NetSuite implementation, including chart of accounts design, data migration, workflows, controls, and reporting
* Oversee healthcare revenue recognition under ASC 606, including contractual allowances, bad debt, payer mix, and AR reserves
* Build and own processes for key accruals, including self-insured medical, auto, and workers' comp (IBNR) and bonus accruals
* Establish ASC 842 lease accounting and fixed asset processes
* Design a tiered approval hierarchy, centralize AP, and strengthen purchasing controls and payment workflows
* Develop a monthly operating report with visibility at the market level
* Prepare management reporting packages for the CFO, leadership, board, and investors, and present as needed
* Lead the annual audit and coordinate lender, insurance, tax, and payer-related audits
* Partner with brokers, actuaries, and outside advisors on insurance renewals and reserve adequacy
* Support weekly cash flow reporting, budgeting, and liquidity planning with the CFO
* Support acquisitions, including due diligence, purchase accounting, and integration
* Work closely with billing and revenue cycle teams to ensure accurate reimbursement accounting
* Lead, coach, and develop a lean accounting team as a hands-on player-coach Requirements
* Bachelor's degree in Accounting or Finance
* Active CPA expected at this level
* 3+ years of recent Controller experience (5 preferred) at a healthcare organization of roughly $300M-$500M in revenue
* Experience at multiple healthcare organizations, ideally provider-side, with exposure to different accounting environments
* Track record helping scale a company through significant revenue growth
* Multi-site, multi-state, multi-entity accounting experience
* Private equity-backed experience strongly preferred
* Hands-on experience with self-insured accruals, AR reserves, ASC 606, and ASC 842
* Proven success building close SOPs, approval hierarchies, and introducing automation
* Comfortable presenting to a board and investors
* NetSuite experience strongly preferred, ideally through an implementation
* Public accounting/audit background preferred (3-5 years)
* Must live within a daily commute of the Brentwood/Franklin, TN area