Controller / Senior Accountant

Controller / Senior Accountant (Healthcare – Dialysis Services)

Location: Remote (U.S.-based preferred)
Employment Type: Full-Time
Reports To: CEO

About the Company

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.

Position Overview

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.

Key Responsibilities

Accounting & Financial Management

• Manage full-cycle accounting for six related entities
• Maintain accurate general ledgers using accrual-based accounting
• Prepare and analyze monthly Profit & Loss (P&L) statements and Balance Sheets
• Perform monthly, quarterly, and year-end close processes
• Ensure consistency across entities with shared vendors and cost structures

Accounts Payable (AP) & Bill Pay

• Oversee all bill pay processes across entities
• Maintain vendor relationships and ensure timely payments
• Monitor expenses and identify cost-saving opportunities

Accounts Receivable (AR)

• Provide weekly AR reporting to CEO
• Track collections and aging reports
• Work closely with operations to improve revenue cycle efficiency

Payroll & Contractor Management

• Process payroll for ~10 full-time employees using Gusto
• Manage payments for ~10 independent contractors
• Ensure payroll tax compliance across multiple states

Tax & Compliance

• Ensure compliance with multi-state tax regulations
• Coordinate with external CPAs for tax filings and audits
• Maintain proper documentation and internal controls

Reporting & Leadership

• Provide weekly AP and AR updates to CEO
• Assist in developing financial dashboards and KPIs
• Support strategic decision-making with financial insights
• Help build scalable accounting processes as the company grows

Qualifications

Required:

• Bachelor’s degree in Accounting, Finance, or related field
• 5+ years of accounting experience (Controller or Senior Accountant level preferred)
• Strong experience with accrual-based accounting, P&L, and balance sheets
• Experience managing multiple entities simultaneously
• Payroll experience (preferably with Gusto or similar platform)
• Experience with multi-state tax compliance
• High attention to detail and strong organizational skills
• Ability to work independently in a remote environment

Preferred:

• Prior experience in healthcare (dialysis, home health, or medical services strongly preferred)
• Experience in high-growth or multi-entity organizations
• CPA or CPA-track candidate

Compensation & Benefits

• Competitive salary (based on experience)
• Virtually unlimited PTO (flexible time off policy)
• 401(k) with employer match
• Health insurance through Blue Cross Blue Shield for primary employee
• Additional dependent coverage options available
• Fully remote work environment
• Opportunity to grow into a leadership role as the company expands
• Direct access to CEO and involvement in strategic decisions

Why Join Us?

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.