Finance Controller jobs in United States

Do you thrive in a fast-paced environment where you take on real responsibility? Are you eager to be part of an exceptional, entrepreneurial team of highly motivated and driven professionals? Are you passionate about delivering industry-leading patient services and driving financial excellence?

If so, SAH Diagnostics could be your next career move. Joining us means stepping into a world of opportunity, where your contributions are valued, and your individuality is celebrated. At SAH Diagnostics, we empower and inspire our people to do their best work, providing the support and environment needed to grow, evolve, and succeed—both today and in the future.

You'll have the chance to shape the financial strategy of a high-impact healthcare business, influence key decisions, and ensure our services are underpinned by robust financial planning and control. If you're looking for a role where you can make a tangible difference, bring commercial insight, and work with a forward-thinking leadership team, we’d love to hear from you.

We are seeking an experienced and hands-on Financial Controller to join SAH Diagnostics on a part-time basis (2-3 days per week). Reporting directly to the CEO and COO, this is a critical role responsible for overseeing our financial operations, supporting strategic planning, and ensuring strong governance, compliance, and financial performance. You’ll be a key partner in our growth journey—bringing both operational finance expertise and commercial acumen to a mission-driven healthcare business.

Our mission is to bridge critical healthcare gaps by providing world-class diagnostic services. Our award-winning team of clinicians works tirelessly to reduce NHS backlogs and waiting lists, ensuring timely and accurate diagnostics for those who need it most.

Through close collaboration with NHS trusts and healthcare providers, we are dedicated to improving patient experiences and accelerating diagnostic processes, particularly for urgent cases. Our approach prioritises efficiency, accuracy, and compassionate care, ensuring every patient receives the attention they deserve.

At SAH Diagnostics, we are not just about delivering diagnostics—we are about transforming healthcare. By placing people at the heart of everything we do, we aim to create a seamless and responsive healthcare system that makes a real difference in people’s lives.

Reporting directly to the CEO and COO, the Part-Time Financial Controller will play a pivotal role in managing the company’s financial operations, planning, and reporting. You will provide strategic financial leadership and ensure robust financial systems, compliance, and controls are in place to support our growth journey. This is a hands-on and autonomous role suited to a self-starter with experience in healthcare or NHS service delivery environments.

1. Oversee all aspects of financial management including budgeting, forecasting, cash flow, and planning.
2. Produce accurate and timely monthly management accounts with detailed variance analysis.
3. Prepare and present financial reports, KPIs, and dashboards to the CEO, COO, and Board.
4. Lead the preparation of year-end accounts and liaise with auditors and external accountants.

1. Provide financial insight and modelling to support decision-making, NHS tendering, pricing strategies, and contract negotiations.
2. Contribute to long-term strategic planning and scenario analysis, aligned with growth objectives.
3. Work closely with operational teams to assess project profitability and cost efficiencies.
4. Ensure full compliance with statutory reporting requirements, NHS financial frameworks, VAT, and payroll obligations.
5. Maintain strong internal controls and lead financial risk management processes.
6. Lead on process and systems improvements across all areas of finance.

1. Oversee day-to-day financial operations including invoicing, accounts payable/receivable, payroll, and reconciliations.

1. Qualified accountant (ACA, ACCA, CIMA)
2. 5+ years’ experience in a senior finance role (ideally within a growing SME or healthcare environment).
3. Strong financial management and reporting background, including preparation of management accounts and board reporting.
4. Commercially focused with experience in pricing, cost modelling, and contract analysis.
5. Experience working with NHS clients or understanding of NHS procurement processes.
6. Proficient in Excel and accounting software such as Xero, Sage, or QuickBooks.
7. Previous experience in NHS insourcing, diagnostics, or staffing models.
8. Experience working in a part-time Financial Controller or Finance Director capacity.
9. Familiarity with preparing financials for NHS tenders or public sector bids.
10. Experience leading finance transformation projects or system implementations.

We’re committed to building an inclusive and diverse workplace where everyone feels valued, respected, and empowered to thrive.

We believe that talent comes in many forms, and we celebrate the unique perspectives and experiences that each individual brings to our team. Our hiring decisions are based on skills, potential, and merit, ensuring equal opportunities for all.

Discrimination, bias, or exclusion have no place here—we are dedicated to fostering a culture where everyone, regardless of background, identity, or circumstances, has the support and opportunity to succeed.

If you’re passionate about making a difference and want to be part of a team that champions diversity, equality, and inclusion, we’d love to hear from you!