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.

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