Controller

TGH Senior Center Powered by Greenbrook Medical•Chicago, IL

9h•$175,000 - $205,000•Hybrid

About The Position

Greenbrook Medical is seeking a Controller to own its end-to-end accounting function and build the financial foundation needed to scale a fast-growing, multi-clinic healthcare organization. The Controller is the senior accounting leader and is responsible for the integrity of financial reporting and the systems, processes, and controls that support accounting operations, compliance, and growth. Reporting to the VP of Finance, this hands-on role leads close and financial reporting, tax and compliance, accounting operations, internal controls, and audit. The Controller partners across the organization to improve operations and provide leaders with accurate, reliable financial information. The position is preferably based in New York City or Chicago in a hybrid arrangement; remote candidates are also welcome. Responsibilities include managing close and financial reporting; building scalable systems and controls; owning tax, audit, and compliance; and partnering with finance, revenue operations, population health, and clinical teams on value-based care and business performance. The role also supports budgeting, forecasting, financial analysis, and evaluation of growth initiatives.

Requirements

8–12 years of accounting and financial operations experience across corporate or multi-entity environments.
3–5 years owning core accounting functions, including close, financial reporting, audits, reconciliations, tax compliance, and financial controls.
Experience managing outsourced finance partners such as bookkeeping, payroll, tax, benefits, or other accounting providers while maintaining internal accountability for their work.
Strong technical accounting skills and a track record of improving accuracy, efficiency, and operational rigor.
Experience building and improving processes, systems, and controls in rapidly evolving environments.
Experience with accounting systems and financial technology, including implementing, upgrading, or optimizing ERP systems and related finance tools.
Strong attention to detail and the ability to balance precision with speed.
Clear communication skills and the ability to partner effectively with financial and non-financial stakeholders.

Nice To Haves

CPA or equivalent public accounting and/or technical accounting experience.
Experience in healthcare, value-based care, managed care, or MSO-PC environments.
Experience at a startup or high-growth company building accounting and finance infrastructure.
Experience managing multi-entity accounting complexity.
Experience supporting risk-bearing contracts, capitation models, or healthcare financial operations.
Enjoys working as a hands-on builder who can solve current problems and design future systems.

Responsibilities

Own the end-to-end accounting function and ensure financial records are accurate, timely, and reliable.
Lead monthly, quarterly, and annual close processes, including journal entries, accruals, reconciliations, consolidations, and preparation of financial statements.
Own the general ledger, balance sheet, and financial reporting across all entities.
Establish and maintain GAAP accounting policies and procedures, including appropriate treatment of complex or significant transactions.
Own revenue accounting and reconciliation across payer arrangements, including capitation, value-based contracts, medical claims liabilities, settlements, and other risk-related balances.
Manage external accounting and bookkeeping partners while retaining internal accountability for their work.
Design and maintain scalable accounting processes, internal controls, approval workflows, and financial policies.
Own accounts payable, procure-to-pay, cash accounting, bank reconciliations, payroll accounting, corporate cards, expense management, and related balance sheet processes.
Partner with the VP of Finance to establish spending approval policies and ensure spending is authorized and aligned with approved budgets.
Own and improve accounting systems and the financial technology stack, including identifying automation opportunities and improving efficiency and data quality.
Assess accounting resource needs and develop the appropriate combination of internal talent, external partners, systems, and processes as the company grows.
Own federal, state, and local tax compliance, reporting, filings, and payments, coordinating with external tax advisors and other partners.
Own finance-related legal entity compliance, registrations, annual reports, 1099 reporting, and recurring federal and state requirements.
Maintain a compliance calendar for tax, financial, regulatory, and entity filings and payments.
Own annual audits and external financial reporting, and maintain year-round audit readiness.
Serve as the primary Finance point of contact for auditors, tax advisors, payroll providers, and other external accounting partners.
Own and improve financial processes for risk contracts, including payer settlements, contestations, cost reallocations, stop-loss activity, and reserve fund reconciliations.
Partner with Revenue Operations, Population Health, and clinical teams to ensure payer and financial data are complete, accurate, and appropriately reflected in financial statements.
Partner with the VP of Finance on budgeting, forecasting, budget-to-actual reporting, variance analysis, and financial planning.
Provide financial and accounting insights to help leaders understand performance, manage spending, and improve financial accountability.
Support financial evaluation of new clinics, markets, payer arrangements, health system partnerships, and other growth initiatives.