VP, Practice Controller

OneOncology•Nashville, TN

2d•Onsite

About The Position

The VP, Practice Controller is a high-profile executive accounting leader who reports directly to OneOncology’s Chief Financial Officer. The position leads the accounting and financial reporting functions for most affiliated oncology partner practices, including monthly close of practice accrual-basis financial statements, development of the practice accounting organization, and management of relationships with partner practices. The role oversees more than 75 accounting professionals, including senior director- and director-level direct reports, and collaborates with the Corporate Controller, corporate accounting, divisional controllers, and other finance and operational leaders to support accurate accounting across the platform. The VP, Practice Controller leads the practice accounting organization through growth, change, acquisitions, and integrations. The role works closely with practice leaders, physicians, OneOncology executives, and cross-functional corporate teams to deliver financial results and operational insights, support strategic decisions and forecasts, coordinate new-practice integrations, and improve accounting processes. The position also supports acquisition evaluation and accounting, oversees accounting policies and controls, and helps standardize and automate processes across the company. The position is based in Nashville and requires working in the office five days per week. Travel flexibility is required, averaging approximately once per month. The role may require engagement with practices and internal teams on nights and weekends as needed.

Requirements

At least 15 years of accounting leadership experience in public accounting or corporate accounting.
Experience leading large, multilayer teams of accounting professionals.
Knowledge of GAAP, FASB, and SEC regulations.
Knowledge of internal accounting controls and the ability to research and document complex accounting and financial topics.
Bachelor’s or master’s degree in Accounting.
Proficiency in Microsoft Office, including advanced Excel, Word, and PowerPoint skills.
Ability to travel flexibly, averaging approximately once per month.
Willingness and ability to engage with practices and internal teams on nights and weekends as needed.
Ability to work in the Nashville office five days per week.
Strong technical US GAAP accounting skills and experience applying accounting judgment to complex issues.
Ability to lead a large, multilayered accounting organization, set goals and targets, hold teams accountable, and develop future leaders.
Strong relationship-building, communication, analytical, and problem-solving skills, including the ability to explain complex accounting concepts to physicians and other nonfinancial stakeholders.
Ability to work independently and cross-functionally in a fast-paced, high-growth environment, prioritize competing requests, and motivate others with a sense of urgency.
Attendance is an essential job function.

Nice To Haves

Healthcare experience is strongly preferred.
Prior experience at a Big Four or large regional accounting firm is strongly preferred.
Active CPA license is strongly preferred.
Workday experience is a plus.

Responsibilities

Serve as the primary practice-facing accounting leader to affiliated oncology practices.
Manage the practice accounting team of more than 75 professionals, including director- and senior director-level direct reports responsible for revenue, receivables, payables, prepaids, fixed assets, and other GAAP accounting.
Lead the monthly practice accounting close process, coordinating with Corporate Accounting and meeting parent-company reporting timelines.
Advise the Chief Financial Officer on priorities, talent development, and service to practices.
Grow and develop the practice accounting team, evaluating performance, skills, improvement opportunities, growth, and promotion potential.
Work with Operations to provide financial results and operational insights through monthly operating reviews and practice meetings.
Work with Corporate and Financial Operations teams to communicate practice trends and support strategic decisions and financial forecasts.
Coordinate with Business Development and Strategic Finance on future practice affiliations and integration timelines.
Coordinate new-practice integrations with finance and operational integration teams.
Partner with the Executive Team, FP&A, Strategic Finance, Business Development, and other departments across the company.
Develop, coordinate, communicate, and enforce practice-level financial reporting policies, procedures, and controls.
Ensure balance sheet reconciliations are completed and reviewed promptly for accuracy and completeness.
Develop standardized and automated accounting processes with finance and accounting leaders, including the senior director responsible for standardization, integrations, and financial systems.
Evaluate and improve financial and operational processes to increase efficiency and scalability.
Participate in optimization of Workday and oversee ERP integrations for new partner practices.
Coordinate accounting research and technical accounting conclusions on complex matters with Corporate Accounting.
Support acquisition evaluation and lead acquisition accounting with Strategic Finance, Business Development, and FP&A.
Lead accounting processes for new partnership practices, including opening balance sheet assessments, in coordination with Corporate Accounting, Treasury, and Accounting Operations.
Lead timely completion of significant accounting processes, including Due To/From with partner practices, and oversee annual audit information with each practice leader.
Perform additional responsibilities as assigned to support the company’s mission.