Controller / Senior Accountant

April 27, 2026 Auto Import

<h2>Controller / Senior Accountant (Healthcare – Dialysis Services)</h2> Location: Remote (U.S.-based preferred) Employment Type: Full-Time Reports To: CEO <h3>About the Company</h3> We are a rapidly growing dialysis services organization focused on delivering high-quality, patient-centered care across multiple states. With expanding operations and multiple entities under management, we are seeking a highly organized and experienced Controller / Senior Accountant to help build and maintain strong financial infrastructure as we scale. <h3>Position Overview</h3> The Controller / Senior Accountant will oversee day-to-day financial operations across six entities with combined annual collections exceeding $6M. This role is responsible for full-cycle accounting, bill pay, payroll oversight, and financial reporting, while ensuring compliance with multi-state regulations. This is a hands-on role ideal for someone who thrives in a growth environment and is comfortable owning both strategic financial reporting and transactional accounting processes. <h3>Key Responsibilities</h3> Accounting & Financial Management <ul><li>Manage full-cycle accounting for six related entities</li><li>Maintain accurate general ledgers using accrual-based accounting</li><li>Prepare and analyze monthly Profit & Loss (P&L) statements and Balance Sheets</li><li>Perform monthly, quarterly, and year-end close processes</li><li>Ensure consistency across entities with shared vendors and cost structures</li></ul> Accounts Payable (AP) & Bill Pay <ul><li>Oversee all bill pay processes across entities</li><li>Maintain vendor relationships and ensure timely payments</li><li>Monitor expenses and identify cost-saving opportunities</li></ul> Accounts Receivable (AR) <ul><li>Provide weekly AR reporting to CEO</li><li>Track collections and aging reports</li><li>Work closely with operations to improve revenue cycle efficiency</li></ul> Payroll & Contractor Management <ul><li>Process payroll for ~10 full-time employees using Gusto</li><li>Manage payments for ~10 independent contractors</li><li>Ensure payroll tax compliance across multiple states</li></ul> Tax & Compliance <ul><li>Ensure compliance with multi-state tax regulations</li><li>Coordinate with external CPAs for tax filings and audits</li><li>Maintain proper documentation and internal controls</li></ul> Reporting & Leadership <ul><li>Provide weekly AP and AR updates to CEO</li><li>Assist in developing financial dashboards and KPIs</li><li>Support strategic decision-making with financial insights</li><li>Help build scalable accounting processes as the company grows</li></ul> <h3>Qualifications</h3> Required: <ul><li>Bachelor’s degree in Accounting, Finance, or related field</li><li>5+ years of accounting experience (Controller or Senior Accountant level preferred)</li><li>Strong experience with accrual-based accounting, P&L, and balance sheets</li><li>Experience managing multiple entities simultaneously</li><li>Payroll experience (preferably with Gusto or similar platform)</li><li>Experience with multi-state tax compliance</li><li>High attention to detail and strong organizational skills</li><li>Ability to work independently in a remote environment</li></ul> Preferred: <ul><li>Prior experience in healthcare (dialysis, home health, or medical services strongly preferred)</li><li>Experience in high-growth or multi-entity organizations</li><li>CPA or CPA-track candidate</li></ul> <h3>Compensation & Benefits</h3> <ul><li>Competitive salary (based on experience)</li><li>Virtually unlimited PTO (flexible time off policy)</li><li>401(k) with employer match</li><li>Health insurance through Blue Cross Blue Shield for primary employee</li><li>Additional dependent coverage options available</li><li>Fully remote work environment</li><li>Opportunity to grow into a leadership role as the company expands</li><li>Direct access to CEO and involvement in strategic decisions</li></ul> <h3>Why Join Us?</h3> This role offers the opportunity to build and shape the financial backbone of a growing healthcare company. You will work directly with leadership, influence operational decisions, and play a key role in scaling a multi-entity organization across multiple states.

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