Senior Controller

• Own and lead a full books clean-up for a growing multi-location, multi-entity, clinic-based mental healthcare business in the US
• Define the accounting methodology, make accounting judgment calls, and deliver close-ready books with documented, repeatable processes
• Report directly to the CFO and act as the CFO’s go-to partner on accounting matters
• Define the clean-up plan, priorities, and timeline
• Set revenue recognition policy for contractual allowances, denials, and patient responsibility under ASC 606
• Reconcile billing and EHR data to the general ledger
• Design an AR reserve methodology and rebuild and reconcile AR by entity, location, and payer, including unapplied cash
• Establish cutoff and month-end accrual policies and oversee AP subledger clean-up and vendor reconciliations
• Define accrual methodology for payroll, benefits, bonuses, and provider compensation, ensuring reconciliation to the GL
• Lead lease inventory and build maintainable ROU asset and lease liability schedules under ASC 842
• Correct medical supply inventory accounting, sign off on balance sheet reconciliations, and review the P&L
• Own intercompany accounting and consolidation across all entities
• Document processes and internal controls so the close is repeatable and audit-ready

• 8+ years of accounting experience, including 3+ years in a Controller or Assistant Controller role
• Healthcare industry experience in multi-site or clinic-based organizations (must)
• QuickBooks proficiency (must)
• Proven track record leading books clean-ups or close remediation projects
• Deep knowledge of US GAAP, especially ASC 606 and ASC 842
• Strong experience with intercompany accounting and multi-entity consolidations
• Ability to work independently and present findings to executive leadership
• Advanced English
• CPA or equivalent certification (nice to have)
• Experience with revenue cycle management (RCM) or EHR billing systems (nice to have)
• Background in mental or behavioral healthcare (nice to have)
• Audit readiness or Big 4 experience (nice to have)