Senior Controller

This is a fully remote position, open to applicants in Mexico.

📋 Description

• Take ownership of and spearhead a comprehensive clean-up of financial records for a rapidly expanding, multi-location, multi-entity clinic-based mental healthcare organization in the US.

• Establish the accounting framework, make informed accounting decisions, and provide close-ready financial statements with documented, repeatable processes.

• Report directly to the CFO and serve as the CFO’s primary partner on all accounting-related issues.

• Develop the clean-up strategy, set priorities, and outline the timeline.

• Set policies for revenue recognition concerning contractual allowances, denials, and patient responsibility in accordance with ASC 606.

• Reconcile billing and Electronic Health Record (EHR) data with the general ledger.

• Create an accounts receivable (AR) reserve methodology and rebuild and reconcile AR by entity, location, and payer, including any unapplied cash.

• Establish cutoff and month-end accrual policies while overseeing accounts payable (AP) subledger clean-up and vendor reconciliations.

• Define accrual methodologies for payroll, benefits, bonuses, and provider compensation, ensuring alignment with the general ledger.

• Lead the inventory of leases and construct maintainable Right of Use (ROU) asset and lease liability schedules under ASC 842.

• Correct any discrepancies in medical supply inventory accounting, approve balance sheet reconciliations, and review the Profit & Loss statement.

• Manage intercompany accounting and consolidation across all entities.

• Document processes and internal controls to ensure a repeatable and audit-ready close procedure.

⛳️ Requirements

• A minimum of 8 years of accounting experience, including at least 3 years in a Controller or Assistant Controller position.

• Proven experience in the healthcare industry, particularly in multi-site or clinic-based organizations (required).

• Proficiency in QuickBooks (required).

• Demonstrated success in leading financial clean-up efforts or remediation projects.

• Extensive knowledge of US GAAP, with a focus on ASC 606 and ASC 842.

• Significant experience in intercompany accounting and multi-entity consolidations.

• Capability to work independently and effectively communicate findings to executive leadership.

• Proficient in advanced English.

• CPA or equivalent certification (preferred).

• Experience with revenue cycle management (RCM) or EHR billing systems (preferred).

• Background in mental or behavioral healthcare (preferred).

• Familiarity with audit readiness or experience with Big 4 firms (preferred).

🏝️ Benefits

• Competitive salary with performance-based bonuses.

• Comprehensive health benefits package.

• Opportunities for professional development and continuing education.

• Flexible working environment with remote work options.

• Supportive team culture focused on mental health and wellness.