Controller

Topaz HR•Boston, MA

17d•$130,000 - $200,000•Onsite

About The Position

Our Client is a rapidly growing behavioral health organization providing evidence-based outpatient and day treatment services for adolescents and young adults. As the organization continues to expand, they are seeking an experienced Controller to lead financial operations, budgeting, and forecasting while partnering closely with leadership to support strategic growth and long-term scalability. The Controller will oversee all accounting and financial operations while driving budgeting, forecasting, and financial strategy across multiple entities. This role requires deep experience in behavioral healthcare, specifically PHP and/or IOP programs, with a strong understanding of billing structures, revenue cycles, and operational realities unique to this space. This is a hands-on leadership role for a finance professional who can both execute and lead- someone who is comfortable “calling the shots,” improving systems, and proactively guiding leadership on what needs to happen financially to support growth.

Requirements

4+ years of Controller or senior accounting experience within behavioral healthcare
Direct experience supporting PHP and/or IOP programs (must-have)
Strong background in budgeting, forecasting, and financial modeling
Experience managing multi-entity financial structures
Proficiency with QuickBooks and payroll systems (Paycom preferred)
Ability to operate confidently in a fast-growing, entrepreneurial environment

Nice To Haves

Experience in ABA therapy organizations
Strong understanding of the Massachusetts behavioral healthcare market
Prior experience scaling financial operations in a growing company
Clear trajectory toward CFO-level leadership

Responsibilities

Serve as the primary financial partner to the CEO, providing insight, guidance, and recommendations to support business decisions
Lead financial planning, budgeting, forecasting, and long-term projections across all entities
Translate financial data into actionable insights for leadership
Oversee all accounting functions, including GL, AP/AR, payroll, month-end close, and financial reporting
Ensure accuracy, compliance, and scalability of financial processes
Manage and optimize QuickBooks and Paycom environments
Oversee and optimize revenue-cycle processes related to PHP/IOP programs
Ensure accurate financial tracking aligned with healthcare billing structures
Partner with operations to address any revenue-cycle inefficiencies or risks
Design and implement financial processes to support rapid expansion, including new locations and entities
Prepare the organization for future complexity, audits, and potential financing events
Support integration and financial oversight of ABA therapy operations (highly preferred)
Lead with confidence, initiative, and accountability—this role is expected to proactively drive outcomes, not wait for direction
Act as a culture carrier with a growth mindset and high execution standards
Build toward a future CFO role as the organization continues to scale