Controller / Head of Accounting
About The Position
A growing home care agency is seeking a strong, hands-on Controller to lead and scale a high-performing finance team. This role is ideal for a Controller who knows how to build structure, drive accountability, and run a well-oiled operation while supporting a multi-entity, multi-state organization. The Ideal Candidate Proven experience leading and developing accounting/finance teams with strong accountability Confident decision-maker who can hire, coach, and make tough calls when needed Strong operational mindset with the ability to build processes and improve systems Advanced Excel skills; strong understanding of GL systems (Intacct a plus) Experience with Viventium payroll and/or HHAexchange is a plus Healthcare experience preferred, home care strongly preferred
Requirements
- 3+ years of progressive accounting/finance experience, with leadership responsibility
- Proven ability to manage and scale teams in a fast-paced environment
- Strong knowledge of financial reporting, audits, and multi-entity structures
- Expertise in Excel and financial systems; Intacct preferred
Nice To Haves
- Healthcare experience preferred, home care (LHCSA/CDPAP) strongly preferred
Responsibilities
- Oversee all accounting functions including GL, AP, cash management, and financial reporting
- Lead month-end, quarter-end, and year-end close processes across multiple entities
- Prepare consolidated financials across NY and out-of-state operations
- Manage audits, cost reports, and regulatory filings (LHCSA)
- Ensure compliance with GAAP, wage parity, overtime, and labor regulations
- Build, manage, and develop a high-performing accounting team with clear expectations
- Partner with Operations and HR to drive financial and operational alignment
- Oversee cash flow, banking relationships, and multi-account forecasting
- Analyze profitability by payer, service line, and geography; monitor KPIs and margins
- Support pricing, reimbursement analysis, and payer contract strategy
- Lead budgeting, forecasting, and financial modeling for growth initiatives
- Support multi-state expansion, new entity setup, and integrations
- Establish internal controls, policies, and scalable financial systems
- Oversee ERP, payroll, and billing system improvements/implementations
- Manage insurance (GL/PL, Workers’ Compensation)
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
