Assistant Controller- Healthcare

USHPAustin, TX
Hybrid

About The Position

The Assistant Controller will serve as the second-in-command within the accounting function, ensuring compliance with GAAP, and supporting financial reporting, audits, and system integrations. This role is designed for a developing lead with the potential and ambition to grow into a Controller or Chief Accounting Officer position. The individual will help scale a best-in-class function within a private equity-backed, multi-entity healthcare environment.

Requirements

  • Bachelor’s degree in Accounting, Finance, or related field (CPA or CMA preferred).
  • 5+ years of accounting experience, preferably in multi-entity healthcare, private equity, or professional services.
  • Strong knowledge of GAAP, ASC 842 (leases), ASC 606 (revenue recognition), and tax compliance.
  • Experience in financial close processes, audits, and financial statement preparation.
  • Hands-on experience with ERP systems (NetSuite, Sage Intacct, or similar) and close automation tools (FloQast, BlackLine, etc.).
  • Excellent analytical, organizational, and communication skills.
  • Ability to lead and collaborate with cross-functional teams in a fast-paced environment.
  • Demonstrated ownership mindset and progression toward leadership responsibilities

Nice To Haves

  • Healthcare industry experience, especially within multi-site medical practice roll-ups.
  • Exposure to private equity-backed environments with acquisition integrations.
  • Experience with financial due diligence and M&A accounting.

Responsibilities

  • Oversee month-end and year-end close processes, ensuring timely and accurate financial reporting.
  • Prepare and review financial statements, balance sheet reconciliations, and variance analyses.
  • Ensure compliance with GAAP, ASC 842 (leases), and ASC 606 (revenue recognition).
  • Assist in the preparation of quarterly and annual financial reports for investors and lenders.
  • Lead audit preparation and coordination with external auditors.
  • Ensure internal controls, policies, and procedures comply with SOX (if applicable) and industry standards.
  • Support tax compliance, tax provision calculations, and apportionment for multi-state entities.
  • Assist in integrating newly acquired practices into the company’s accounting framework.
  • Work closely with the corporate finance team to implement best practices for financial consolidation.
  • Support the implementation and automation of close processes (FloQast, Blackline or similar tools).
  • Maintain and improve ERP systems and financial reporting tools.
  • Oversee the AP process, including vendor consolidation strategies and payment cycles.
  • Ensure timely and accurate processing of invoices, accruals, and reconciliations.
  • Implement cost control measures and working capital improvements.
  • Support the budgeting and forecasting process, ensuring alignment with corporate financial goals.
  • Perform ad hoc financial analysis and modeling to support decision-making.
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