Controller

Gladstone Psych & Wellness • Columbia, MD

32d • $120,000 - $145,000 • Hybrid

About The Position

The Controller is responsible for overseeing the financial operations of the clinical practice, ensuring accurate financial reporting, strong internal controls, and compliance with healthcare regulations. This role manages the accounting function, supports revenue cycle oversight, and provides financial insights to leadership to support operational and strategic decision-making.

The ideal candidate is a hands-on leader with strong accounting expertise and experience in healthcare finance, revenue cycle management, and multi-entity or multi-location practice environments.

Requirements

• Bachelor’s degree in Accounting or Finance required
• 5–10+ years of progressive accounting experience, including leadership roles
• Experience in healthcare, medical practices, or clinical environments preferred
• Strong knowledge of GAAP, financial reporting, and internal controls
• Familiarity with healthcare revenue cycle management
• Advanced proficiency in Excel and accounting systems
• Strong analytical, communication, and leadership skills

Nice To Haves

• CPA preferred
• Experience with medical practice management systems or EHR platforms
• Multi-location or multi-entity healthcare organization experience
• Healthcare reimbursement models including Medicare, Medicaid, and commercial insurance

Responsibilities

• Oversee all accounting operations including general ledger, accounts payable, accounts receivable, payroll, and financial reporting
• Manage the monthly, quarterly, and annual close processes and ensure timely preparation of financial statements
• Ensure compliance with GAAP and healthcare financial regulations
• Prepare financial reports and analysis for executive leadership and practice partners
• Support budgeting, forecasting, and variance analysis
• Oversee revenue cycle performance including billing, collections, reimbursement, and payer mix analysis
• Monitor patient revenue, insurance reimbursements, and collection trends
• Partner with revenue cycle teams to optimize billing efficiency and reduce denials
• Establish and maintain strong internal controls and accounting policies
• Ensure compliance with regulatory requirements including healthcare and tax regulations
• Coordinate audits, tax filings, and financial reviews with external auditors and advisors
• Manage cash flow forecasting and working capital management
• Monitor practice profitability, cost management, and operational efficiency
• Identify opportunities for financial process improvements and system enhancements
• Lead and mentor accounting and finance staff
• Implement best practices in financial processes and reporting
• Collaborate with operational leaders across the practice to support financial goals

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level