Controller

OrthoArkansas•Little Rock, AR
•Onsite

About The Position

The Controller at OrthoArkansas is a hands-on accounting leader responsible for the multi-entity ledger, monthly close, physician financial mechanics, and managing a small team overseeing accounting, accounts payable, and cash. Reporting to the Chief Executive Officer, this role ensures accurate and timely financial statements and a robust control environment across all entities. A key aspect of this position involves learning to build and oversee AI agents within the accounting function, with dedicated training and support provided by OrthoArkansas' in-house AI developers. This role is ideal for a skilled accountant who is curious about AI and eager to pioneer its application in accounting for the organization.

Requirements

  • Bachelor's degree in accounting, finance, or a related field required.
  • Minimum of 7 years of progressive accounting experience, including time as a Controller, Assistant Controller, or the person who did everything at a small company.
  • Multi-entity and intercompany accounting experience required.
  • People management experience required, with a desire to keep leading a team.
  • Strong command of GAAP, the monthly close, reconciliations, and internal controls.
  • Working understanding of S-corporation shareholder accounting.
  • Still enjoys the ledger and is comfortable preparing and booking entries, not only reviewing them.
  • Curious about AI and already using it in your own work by choice, with a desire to go much deeper and learn to build with it.
  • Enjoys experimenting and tinkering, and would rather learn to build a solution than wait for one.
  • Comfortable delivering unwelcome news to owners plainly and early.
  • Excellent written, verbal, and presentation skills, with the ability to communicate clearly to leadership and physicians.
  • Sound judgment, discretion, and the ability to maintain confidentiality with sensitive financial and compensation information.
  • Mastery: Spreadsheet, Accounting.
  • Advanced: ERP systems (Acumatica preferred), bank platforms, Payroll Systems.

Nice To Haves

  • Healthcare experience is not required; we will teach you our industry.
  • Preferred: Hands-on use of AI tools in accounting or other work. Training on building with AI is provided.

Responsibilities

  • Own the monthly close across all entities, including intercompany activity, balance sheet reconciliations, and entity financial statements.
  • Prepare the monthly financial package for the CEO and boards.
  • Remain hands-on with the ledger, preparing and booking entries in addition to reviewing the work of the team.
  • Learn to build with AI tools through structured, hands-on training and side-by-side work with OrthoArkansas' in-house AI developers.
  • Build the automated close step by step: map each process, decide what an agent can do and what stays with a person, build and test the agents, run them in parallel with the manual close until they are proven, then cut over.
  • Automate reconciliations, accruals, intercompany, journal entry preparation, and first-draft variance commentary, with people serving as reviewers and approvers.
  • Oversee the automated close once live: review agent output every cycle, handle exceptions, tune instructions when results drift, and extend automation to the next process.
  • Present what has been built to leadership and peers.
  • Prepare monthly physician statements and calculate productivity bonuses.
  • Administer physician distributions and bonus payouts in coordination with payroll.
  • Support physician buy-in and buy-out transactions.
  • Maintain the calendar behind all physician financial activity.
  • Oversee the daily cash position and provide the payroll funding recommendation.
  • Manage distribution runs and approve accounts payable within delegated limits.
  • Resolve positive pay exceptions.
  • Coordinate the outside CPA review, tax packages, and K-1 support.
  • Prepare and file 1099s.
  • Prepare the profit-sharing plan audit package.
  • Complete lender certifications and borrowing base reporting.
  • Maintain strong governance without bureaucracy, including financial policies, procedures, and internal controls that safeguard organizational assets.
  • Ensure every AI agent has an audit trail, a documented process, appropriate separation of duties, and a human approval point where one belongs.
  • Supervise, train, and develop three direct reports: staff accountant, accounts payable, and cash and deposits.
  • Help the CEO explain financial results to the physician-owners, including unwelcome news, plainly and early.
  • Serve as a key contact for banking partners and the outside CPA firm.
  • Perform other related duties as required or assigned.

Benefits

  • medical coverage
  • life insurance
  • 401(k) with employer profit-sharing contributions
  • paid time off
  • paid holidays
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