Job Title: Controller
Location: Brooklyn, NYC
Industry: Healthcare Services / Home Care
About the Organization
A well-established, mission-driven healthcare services organization with decades of operating history is seeking a strategic and hands-on finance leader. The organization is a licensed provider operating across the New York metropolitan area, delivering essential in-home healthcare services and partnering closely with state agencies and healthcare institutions.
The company is committed to operational excellence, regulatory compliance, and high-quality care, with a strong focus on growth, financial discipline, and continuous improvement.
Position Overview
The Controller / VP of Finance will lead all financial operations of the organization, balancing day-to-day execution with strategic leadership. This individual will be responsible for ensuring audit-ready financials, regulatory compliance, accurate reporting, and strong internal controls while serving as a key advisor to executive leadership.
The role oversees accounting, revenue cycle, payroll, budgeting, cash management, and banking relationships, and plays a critical role in supporting scalability, operational efficiency, and long-term strategic initiatives.
Responsibilities:
Financial Operations
- Oversee all accounting functions including general ledger, month-end close, and GAAP-compliant financial reporting
- Maintain audit-ready documentation and manage external audit processes
- Lead accounts receivable, accounts payable, payroll, and full revenue cycle operations
- Oversee multi-entity accounting across for-profit and nonprofit structures
Cash Management & Banking
- Manage cash flow forecasting and working capital
- Serve as primary contact for banking relationships and loan covenant compliance
- Support executive leadership with financial reporting and lender communication
Compliance & Controls
- Ensure compliance with healthcare financial regulations and government contract requirements
- Oversee Medicaid and Medicare billing compliance
- Manage tax filings and reporting requirements
- Implement and strengthen financial controls and risk management processes
Budgeting & Performance
- Lead annual budgeting and forecasting processes
- Deliver variance analysis and financial insights to leadership
- Identify and implement EBITDA improvement initiatives
- Partner with operations to translate financial data into performance improvement actions
Strategic Leadership
- Contribute to strategic planning and executive decision-making
- Support financial infrastructure scalability
- Prepare financial analysis for potential strategic transactions
- Evaluate and optimize financial systems and reporting tools
Team Leadership
- Lead and develop a high-performing finance team across accounting, payroll, AR, and AP
- Establish accountability, process discipline, and continuous improvement
- Assess team capabilities and align talent with organizational needs
Qualifications
- Bachelor’s degree in Accounting, Finance, or related field
- 8+ years of progressive accounting and finance experience
- 5+ years in a leadership role (Assistant Controller, Controller, Director of Finance, or AVP/VP level)
- Strong knowledge of GAAP and financial reporting standards
- Proven audit management experience
- Deep expertise in revenue cycle, AR/AP, payroll, and cash management
- Experience managing banking relationships and financial covenants
- Strong analytical and leadership skills
Preferred:
- CPA or MBA
- Healthcare industry experience, particularly home health or home care
- Experience with Medicaid/Medicare billing and government contracts
- Multi-entity accounting experience (including nonprofit structures)
- Experience supporting M&A or private equity transactions
