Accounting & Finance Manager, Controller

Dermatology Specialists of West Georgia, P.C.; Peachtree City (GA); On-site; USD 90,000 - 130,000; Full time

Job summary

Dermatology Specialists of West Georgia, P.C. is seeking an experienced Accounting & Finance Manager to lead the complete finance operations for the practice. You will own general ledger, monthly close, payroll, and intercompany accounting across three clinical locations and four brands.

You will produce timely financial reporting, manage budgets, and provide strategic financial insights to ownership. The role requires hands-on execution and a focus on margin, cost, and growth in a multi-brand

Qualifications

• Bachelor's degree in Accounting or Finance required.
• CPA certification strongly preferred.
• 5+ years of progressive accounting experience in a healthcare or multi-site environment.
• Demonstrated ownership of full-cycle accounting and month-end close.
• Proficiency with QuickBooks Online and ADP Workforce Now.
• Experience with Power BI or similar reporting tools.

Responsibilities

• Own bookkeeping in QuickBooks Online, including journal entries and GL integrity.
• Manage monthly close process on a consistent, timely calendar.
• Produce location-level and service-line P&Ls across multiple entities.
• Lead annual budget and periodic forecasts with variance analysis.
• Oversee payroll for ~70 employees (ADP Workforce Now).
• Ensure internal controls and compliance across locations.

Skills

Advanced Excel

Multi-location accounting

Financial analysis

Clear communication

Education

Bachelor's degree in Accounting or Finance

CPA

Tools

QuickBooks Online

ADP Workforce Now

Power BI

ModMed / Practice management system

Job description

Accounting & Finance Manager / Controller Organization: Dermatology Specialists of West Georgia, P.C. (DSWG) Reports to: President Location: Peachtree City, GA Status: Full-time, Exempt About the Practice DSWG is a physician-owned dermatology group serving West Georgia through three clinical locations and four brands — West Georgia Dermatology, Newnan Dermatology, Peachtree City Dermatology, and Carroll Cosmetic Club — with approximately 70 employees. The practice also operates a dermatopathology laboratory and holds majority ownership in a joint-venture ambulatory surgery center. We are seeking an experienced accounting leader to own the day-to-day finance function and serve as the right hand to ownership on all financial matters. Position Summary The Controller is responsible for the complete accounting and finance operation of the practice: general ledger and close, financial reporting, payroll and incentive compensation, accounts payable, inventory and cost management, cash management, and compliance. This is a hands-on, broad role for someone who can both execute the detailed work and think strategically about margin, cost, and growth across multiple locations and business lines.

• Own all bookkeeping in QuickBooks Online, including journal entries, account reconciliations, and GL integrity
• Manage the monthly close process on a consistent, timely calendar
• Allocate revenue and expenses across locations and business lines (medical dermatology, cosmetics, pathology, surgery center) to produce accurate location-level and service-line P&Ls
• Maintain the fixed asset register and depreciation schedules
• Handle multi-entity and intercompany accounting, including the joint-venture surgery center's books, distributions, and partner reporting
• Produce a monthly financial reporting package (P&L, balance sheet, cash flow) with commentary for ownership
• Lead the annual budget and periodic forecasts; deliver budget-vs-actual variance analysis
• Support and help maintain financial data feeding the practice's reporting/dashboard environment (e.g., Power BI)
• Build pro formas and ROI models for new providers, equipment purchases, and expansion decisions
• Prepare cash flow forecasts and monitor working capital
• Administer bi-weekly payroll for ~70 employees (ADP Workforce Now)
• Calculate provider and staff incentive/productivity compensation, including injector and aesthetician commissions and bonus plans
• Ensure payroll tax compliance and manage 401(k) funding, transmission, and reconciliation
• Reconcile benefits invoices (health, HSA, COBRA, carrier billing) against enrollment
• Manage the full AP cycle: invoice entry, approval routing, vendor payments, and 1099 reporting
• Track vendor contract costs and flag pricing or billing discrepancies
• Administer corporate card programs and employee expense reimbursements
• Manage cosmetics and retail inventory (Zenoti), including injectables, product COGS, and shrink/reconciliation
• Track and control medical supply and consumable costs; coordinate on par levels and purchasing with clinical leadership
• Perform margin analysis by service line and product category to inform pricing and purchasing decisions
• Reconcile daily collections and deposits from the practice management system (ModMed), merchant processors, and Zenoti
• Reconcile patient payments, refunds, and adjustments; partner with the billing/RCM team on cash posting and AR
• Monitor collection trends and payer remittances from a financial-control standpoint
• Manage cash positioning across accounts and banking relationships
• Track debt, lines of credit, and lease obligations; monitor loan covenants and reporting requirements
• Establish and maintain internal controls, segregation of duties, and fraud-prevention safeguards
• Serve as primary liaison to the external CPA for tax preparation, year-end workpapers, and audits
• Support owner distributions, K-1 preparation, and equity/buy-in accounting
• Manage sales/use tax filings and other regulatory financial compliance
• Coordinate joint-venture partner reporting and distributions
• Advise the President and ownership on financial performance, cost drivers, and investment decisions
• Provide financial input on vendor negotiations, service-line profitability, and new business opportunities
• Complete ad hoc analysis and special projects as needed Qualifications Required
• Bachelor's degree in Accounting or Finance
• 5+ years of progressive accounting experience, including controller- or manager-level responsibility
• Demonstrated ownership of full-cycle accounting and month-end close
• Proficiency in QuickBooks Online
• Payroll administration experience
• Advanced Excel skills
• Experience supporting multiple locations or entities
• High level of discretion and confidentiality (compensation, financial, and protected health information)
• CPA
• Healthcare, medical practice, dental, or multi-site services accounting experience
• Experience with ADP Workforce Now
• Retail or medical inventory cost accounting
• Familiarity with Power BI or similar reporting tools
• Detail-oriented and accurate, with strong analytical judgment
• Self-directed and organized; able to manage a broad scope independently
• Clear communicator who can translate financials for non-financial stakeholders
• Comfortable in a growing, multi-brand environment with evolving systems and processes DSWG is an Equal Opportunity Employer.