Financial Controller

South Texas Renal Care Group•San Antonio, TX

About The Position

South Texas Renal Care Group is a growing multispecialty medical practice headquartered in San Antonio, TX. We are affiliated with a national dialysis company, a growth-stage healthcare technology company and other lines of business, operating across multiple entities, leveraging technology to improve care delivery, practice operations, and financial performance. We are building a high-performance finance team to support our next phase of growth. The Financial Controller is the company's chief accounting officer, responsible for the accuracy and integrity of financial records across all entities, timely and compliant financial reporting, strong internal controls, and continuous improvement of accounting operations within NetSuite. The Controller works in close partnership with the CFO, providing the reliable financial foundation from which strategic decisions are made.

Requirements

Bachelor's degree in Accounting or Finance required; CPA strongly preferred
7–10+ years of progressive accounting experience, including 3+ years in a Controller or Assistant Controller role
Multi-entity experience required; healthcare services or healthcare technology strongly preferred
Deep, hands-on NetSuite proficiency including chart of accounts design, custom segments, saved searches, and workflow automation. Experience with a NetSuite implementation or major optimization is a strong plus
Solid knowledge of GAAP and familiarity with healthcare revenue cycle flows
Proven ability to build and improve accounting processes, manage a small team, and communicate clearly with non-finance stakeholders
Strong Excel skills. Experience with expense management platforms (e.g., Emburse or similar) a plus

Responsibilities

Own the monthly and annual close process across all entities, including GL maintenance, journal entries, account reconciliations, intercompany eliminations, and consolidation in NetSuite
Maintain and enforce a consistent close calendar with documented checklists and clear SLAs
Oversee AP, AR, cash disbursements, fixed assets, payroll accounting, and revenue recognition
Produce accurate and timely GAAP financial statements: P&L by entity and service line, balance sheet, cash flow statement, and supporting schedules
Prepare management reporting packages with variance analysis for CFO and leadership
Coordinate all tax preparation activities with external CPA firm
Work with CFO to design, implement, and maintain accounting policies and internal controls; enforce segregation of duties
Ensure compliance with GAAP, healthcare finance regulations, and relevant tax requirements
Identify and remediate control gaps proactively
Serve as the primary finance owner of NetSuite: chart of accounts, custom segments, workflows and approvals, roles and permissions, and saved searches/reports
Manage and improve integrations (e.g., payroll, expense management, RCM/billing feeds)
Coordinate with Business Analyst to build and maintain PowerBI dashboards and financial reports for CFO, CEO, and practice leadership
Continuously optimize the close process and reduce manual work through automation within NetSuite
Partner with the CFO on annual budgeting and rolling forecasts; provide actuals-to-budget reporting with variance explanations
Assist in cash flow management: track disbursement timing, vendor terms, and short-term cash position; flag risks to CFO early
Supervise and develop the accounting team
Set clear expectations, quality standards, and professional development plans for direct reports
Partner with the CFO to identify, evaluate, and implement practical AI-driven solutions across Finance, including automation of transactional processes, enhancement of reporting and analytics, and improvement of forecasting and decision-support workflows.
Continuously assess emerging AI tools and capabilities, develop business cases for adoption, and lead Finance's role in pilot projects, change management, and governance to ensure secure and compliant use of AI within the department.