Controller

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 timesJoin early in a growth chapter with significant investment in technology, systems, and infrastructureReal autonomy: the CFO is looking for a trusted partner to own accounting, not someone to micromanageCompetitive base, annual bonus, and equity participationHigh visibility with executive leadership, the board, and investorsHeadquartered in the Brentwood/Franklin, TN areaKey ResponsibilitiesOwn the monthly, quarterly, and annual close across multiple entities, documenting the process with SOPs and driving toward a 10-business-day closeHelp lead the NetSuite implementation, including chart of accounts design, data migration, workflows, controls, and reportingOversee healthcare revenue recognition under ASC 606, including contractual allowances, bad debt, payer mix, and AR reservesBuild and own processes for key accruals, including self-insured medical, auto, and workers' comp (IBNR) and bonus accrualsEstablish ASC 842 lease accounting and fixed asset processesDesign a tiered approval hierarchy, centralize AP, and strengthen purchasing controls and payment workflowsDevelop a monthly operating report with visibility at the market levelPrepare management reporting packages for the CFO, leadership, board, and investors, and present as neededLead the annual audit and coordinate lender, insurance, tax, and payer-related auditsPartner with brokers, actuaries, and outside advisors on insurance renewals and reserve adequacySupport weekly cash flow reporting, budgeting, and liquidity planning with the CFOSupport acquisitions, including due diligence, purchase accounting, and integrationWork closely with billing and revenue cycle teams to ensure accurate reimbursement accountingLead, coach, and develop a lean accounting team as a hands-on player-coachRequirementsBachelor's degree in Accounting or FinanceActive CPA expected at this level3+ years of recent Controller experience (5 preferred) at a healthcare organization of roughly $300M–$500M in revenueExperience at multiple healthcare organizations, ideally provider-side, with exposure to different accounting environmentsTrack record helping scale a company through significant revenue growthMulti-site, multi-state, multi-entity accounting experiencePrivate equity-backed experience strongly preferredHands-on experience with self-insured accruals, AR reserves, ASC 606, and ASC 842Proven success building close SOPs, approval hierarchies, and introducing automationComfortable presenting to a board and investorsNetSuite experience strongly preferred, ideally through an implementationPublic accounting/audit background preferred (3–5 years)Must live within a daily commute of the Brentwood/Franklin, TN area