Controller – CFO Potential, Behavioral Healthcare
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Job Description
Controller responsible for financial operations and strategic insights in a behavioral healthcare organization. Leading growth while providing high-quality, trauma-informed care to youth.
Responsibilities:
- Lead all core financial operations, including monthly closes, consolidated financial reporting, budgeting, forecasting, and detailed variance analysis across multiple sites and programs.
- Manage healthcare-specific cost reporting, revenue cycle optimization, reimbursement management, and payer contract analysis.
- Provide strategic financial insights to executive leadership and operational teams to drive program profitability, cost management, and informed decision-making.
- Oversee and develop a small finance team (currently 1.5–2 members) while remaining actively hands-on with accounting and reporting.
- Support due diligence, financial modeling, and integration efforts for acquisitions and new center openings.
- Ensure strong internal controls, compliance with behavioral health regulations, and readiness for audits and regulatory reviews.
- Build scalable processes, systems, and KPIs to professionalize financial operations as the organization continues to grow.
- Prepare clear, executive-level financial presentations for leadership and board meetings.
Requirements:
- 7+ years of progressive experience in healthcare finance, with the most recent years spent as a Controller (or equivalent senior role) in a provider setting — behavioral health, residential treatment, psychiatric services, nursing home/long-term care, or similar multi-site healthcare organizations strongly preferred.
- Significant hands-on experience with healthcare budgeting, cost reports, revenue cycle, and reimbursement models.
- Demonstrated success managing financial operations in a multi-location or multi-state environment with rapid growth.
- Proven ability to lead and develop a small team while staying actively involved in day-to-day execution.
- Strong technical skills, including advanced Excel and ERP/accounting systems (experience optimizing or implementing systems is highly valued).
- Bachelor’s degree in Accounting or Finance required; CPA and/or MBA strongly preferred.
- Sharp, proactive, and assertive “accountant-type” personality — detail-oriented yet strategic, with a strong desire to advance and drive organizational impact.
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