Market Controller - North Georgia Region

Southeast Medical Group•Alpharetta, GA

About The Position

The Market Controller oversees the financial performance, reporting, budgeting, and operational financial management of multiple primary care clinics within an assigned market. The role acts as a strategic business partner between Accounting and Operations, supporting financial accuracy, operational accountability, and consistent performance across clinic locations. Working with market leadership, clinic managers, and corporate Accounting, the Market Controller monitors revenue, expenses, labor productivity, provider performance, and clinic profitability. The position identifies financial and operational trends, develops performance-improvement strategies, and helps ensure that financial processes and internal controls are consistently followed across locations. The role also leads clinic budgeting and forecasting, supports accounting and revenue-cycle oversight, and develops dashboards and performance measures to inform operational decisions. It works closely with Accounting, Market Operations, Regional Directors, Practice Managers, Executive Leadership, and Shared Services Leaders.

Requirements

  • Bachelor's degree in Accounting, Finance, Business Administration, or a related field.
  • 5–7+ years of progressive experience in accounting, finance, financial management, or healthcare operations.
  • Experience with budgeting, forecasting, financial reporting, and variance analysis.
  • Experience partnering with operational leaders and non-financial stakeholders.
  • Knowledge of healthcare revenue-cycle processes and physician-practice financial metrics.
  • Strong financial analysis and accounting knowledge.
  • Ability to interpret financial results and translate them into operational recommendations.
  • Strong understanding of multi-site business operations.
  • Excellent communication and relationship-building skills.
  • Ability to influence and partner with Operations and Accounting leadership.
  • Strong organizational and project management skills.
  • Advanced Excel and financial reporting capabilities.
  • Experience with accounting systems, ERP platforms, and business intelligence tools.
  • Ability to manage competing priorities across multiple clinic locations.
  • Strong problem-solving and process-improvement capabilities.

Nice To Haves

  • CPA, CMA, MBA, or another relevant advanced certification.
  • Experience managing financial performance across multiple clinic locations.
  • Healthcare, physician practice management, or primary care experience.

Responsibilities

  • Oversee the financial performance of assigned primary care clinic locations.
  • Review and analyze monthly financial statements, including profit and loss statements, balance sheets, and cash flow reporting.
  • Monitor revenue, operating expenses, labor costs, and clinic-level profitability; analyze variances against budget, forecast, and prior-year performance.
  • Identify financial risks, trends, and opportunities for improvement, and ensure appropriate allocation of expenses and shared services across clinics.
  • Support month-end and year-end close processes.
  • Partner with the COO and Regional Operations leadership to improve clinic financial performance and alignment with budgets and forecasts.
  • Work with Practice Managers to monitor financial and operational KPIs, including staffing models, labor utilization, overtime, productivity, provider productivity, patient volumes, visit trends, and revenue performance.
  • Collaborate with Operations to identify efficiency improvements while maintaining quality patient care and develop action plans for underperforming clinics.
  • Support operational decisions with financial analysis and business recommendations, and participate in market performance meetings.
  • Lead development and monitoring of annual clinic operating budgets and prepare monthly forecasts based on patient volumes, provider schedules, staffing, and operating trends.
  • Partner with Operations to establish financial goals and performance expectations, monitor budget performance, and communicate significant variances.
  • Develop financial models to assess new providers, staffing changes, clinic expansion, and operational initiatives; assist leadership with financial planning and strategic decisions.
  • Partner with corporate Accounting to ensure accurate general ledger activity and financial reporting; monitor accounts payable, accounts receivable, payroll expenses, and clinic-level financial transactions.
  • Ensure expenses are correctly coded and allocated, review purchasing and expense management, support compliance with accounting policies and internal controls, and ensure timely submission of clinic financial information.
  • Partner with Revenue Cycle Management to monitor revenue performance, trends, collections, adjustments, denials, accounts receivable, charge capture, payer mix, reimbursement, and patient volume.
  • Work with Operations and Revenue Cycle teams to address billing and collection challenges, monitor revenue-cycle indicators, and communicate improvement opportunities.
  • Develop and maintain financial and operational dashboards to track performance across the market, including revenue, expenses, margins, labor, provider productivity, visits, revenue per encounter, staffing, accounts receivable, collections, denials, EBITDA or operating contribution, and budget-to-actual results.
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