Controller

Altus Community Healthcare•Houston, TX

23d

About The Position

The Controller owns the accuracy, timeliness, and integrity of financial reporting and accounting operations across all ZT Health entities. The role leads the close, revenue recognition, internal controls, and audit readiness, ensuring compliance with U.S. GAAP and private equity reporting standards. It combines technical accounting leadership with audit-style rigor, including proactive risk assessment, issue resolution, and ongoing dialogue with senior leadership, auditors, and operating partners. The Controller leads accounting staff and outsourced accounting providers, supports executive, board, lender, and private equity reporting, and partners with Finance, Revenue Cycle, Operations, Legal and Compliance, external auditors, and vendors.

Requirements

Bachelor's degree in accounting or finance.
CPA required.
At least 8 years of progressive accounting experience, including at least 3 years as a Controller or Assistant Controller.
Healthcare revenue recognition experience, including ASC 606 and implicit price concessions.
Experience with multi-entity consolidation and intercompany accounting.
NetSuite or comparable ERP experience.
Strong controls mindset, hands-on technical skills, and clear executive communication.

Nice To Haves

Public accounting (audit) experience strongly preferred.
PI or out-of-network experience is a plus.
Experience in a private equity-backed environment is ideal.

Responsibilities

Lead the monthly, quarterly, and annual close across internal teams and outsourced vendors.
Prepare and review consolidated financial statements and standardize reporting across entities.
Support board, executive, lender, and private equity reporting.
Own accounting policies and implement changes in accounting standards.
Oversee net patient revenue recognition under ASC 606, including implicit price concessions and NSA/IDR-related estimates.
Develop and approve revenue estimates and monthly true-ups with audit-ready support.
Partner with Revenue Cycle to validate assumptions, including payer mix, reimbursement, denials, and settlement timing.
Ensure billing system-to-bank-to-GL reconciliations are complete and accurate.
Set PI revenue recognition and valuation methodology; review PI aging, write-downs, and settlements.
Maintain GL integrity and a standardized chart of accounts across entities.
Oversee intercompany accounting and eliminations, accruals, expense classification, and capital-versus-expense decisions.
Review and approve balance sheet reconciliations, including A/R, PI receivables, accruals, prepaids, and intercompany accounts.
Design and maintain internal controls, segregation of duties, and Delegation of Authority compliance.
Serve as the primary liaison to external auditors from planning through close-out.
Lead management's response to audit findings and remediate control gaps.
Assess processes for financial and control risk and report status to leadership.
Oversee AP coding, approvals, payment execution, and vendor master controls.
Prevent duplicate or unauthorized payments and enforce Delegation of Authority limits.
Partner with treasury on daily cash, forecasting, and disbursement schedules.
Maintain the corporate cost allocation methodology and entity-level profitability reporting.
Maintain ERP integrity and access controls; drive automation and revenue cycle system integrations.
Support budgeting, forecasting, and variance analysis.
Lead, develop, and review the work of accounting staff and outsourced accounting providers.
Monitor vendor performance, scope, and cost.