Controller

Altus Emergency; Houston (TX); On-site; USD 140,000 - 190,000; Full time

Job summary

Altus Emergency is seeking a Controller in Houston, TX to own the accuracy and timeliness of financial reporting across entities. You will lead the close, revenue recognition under ASC 606, and internal controls, ensuring GAAP compliance and PE reporting standards.

You will manage the close process, consolidate financials, and coordinate with auditors, while partnering with senior leadership and revenue cycle teams to validate assumptions and improve processes.

Qualifications

• Bachelor’s degree in accounting or finance required.
• CPA required.
• 8+ years of progressive accounting experience, including 3+ years as Controller or Assistant Controller.
• Public accounting (audit) experience strongly preferred.
• Healthcare revenue recognition experience (ASC 606) and related knowledge.
• Multi-entity consolidation and intercompany experience, ideally in a PE-backed environment.
• Experience with NetSuite or comparable ERP systems.
• Strong controls mindset, hands-on technical skills and clear executive communication.

Responsibilities

• Lead monthly, quarterly and annual close across internal teams and outsourced vendors.
• Prepare and review consolidated financial statements; standardize reporting across entities.
• Support board, executive, lender and private equity reporting.
• Own accounting policies and implement changes in accounting standards.
• Oversee net patient revenue recognition under ASC 606 and related estimates.
• Develop and approve revenue estimates and monthly true-ups with audit-ready support.
• Partner with Revenue Cycle to validate assumptions and reconciliations.
• Maintain GL integrity, standardized chart of accounts, and intercompany eliminations.
• Design and maintain internal controls, DOA compliance, and liaison to external auditors.
• Lead management’s response to audit findings and remediate control gaps.
• Oversee AP coding, approvals, payment execution and vendor master controls.
• Manage cost allocation, systems integrations, budgeting, forecasting and variance analysis.
• Lead, develop and review accounting staff and outsourced providers.

Skills

Controls mindset

Technical accounting skills

Executive communication

Education

Bachelor’s degree in accounting or finance

Certified Public Accountant (CPA)

Tools

NetSuite

Job description

Description

Job Title: Controller

Location: Houston, TX

Reports to: SVP Finance/CFO

Position Summary:

The Controller owns the accuracy, timeliness and integrity of financial reporting and accounting operations across all ZT Health entities. The role leads the close, revenue recognition, internal controls and audit readiness, ensuring compliance with U.S. GAAP and private equity reporting standards. It combines technical accounting leadership with audit-style rigor: proactive risk assessment, issue resolution, and ongoing dialogue with senior leadership, auditors and operating partners.

Key Responsibilities

Close & Financial Reporting

• Lead the monthly, quarterly and annual close across internal teams and outsourced vendors
• Prepare and review consolidated financial statements; standardize reporting across entities
• Support board, executive, lender and private equity reporting
• Own accounting policies and implement changes in accounting standards

Revenue Recognition (Healthcare & Personal Injury)

• Oversee net patient revenue recognition under ASC 606, including implicit price concessions and NSA/IDR-
• related estimates
• Develop and approve revenue estimates and monthly true-ups with audit-ready support
• Partner with Revenue Cycle to validate assumptions (payer mix, reimbursement, denials, settlement timing)
• Ensure billing system-to-bank-to-GL reconciliations are complete and accurate
• Set PI revenue recognition and valuation methodology; review PI aging, write-downs and settlements.

General Ledger & Balance Sheet

• Maintain GL integrity and a standardized chart of accounts across entities
• Oversee intercompany accounting and eliminations, accruals, expense classification, and capital vs. expense
• decisions
• Review and approve all balance sheet reconciliations (A/R, PI receivables, accruals, prepaids, intercompany)

Internal Controls, Audit & Compliance

• Design and maintain internal controls, segregation of duties and Delegation of Authority (DOA) compliance
• Serve as primary liaison to external auditors from planning through close-out
• Lead management's response to audit findings and remediate control gaps
• Proactively assess processes for financial and control risk; report status to leadership

AP, Disbursements & Cash

• Oversee AP coding, approvals, payment execution and vendor master controls
• Prevent duplicate or unauthorized payments; enforce DOA limits
• Partner with treasury on daily cash, forecasting and disbursement schedules

Cost Allocation, Systems & Analysis

• Maintain corporate cost allocation methodology and entity-level profitability reporting
• Maintain ERP integrity and access controls; drive automation and revenue cycle system integrations
• Support budgeting, forecasting and variance analysis

Leadership

• Lead, develop and review the work of accounting staff and outsourced accounting providers
• Monitor vendor performance, scope and cost

Requirements

Qualifications

• Bachelor's degree in accounting or finance; CPA required
• 8+ years of progressive accounting experience, including 3+ years as Controller or Assistant Controller
• Public accounting (audit) experience strongly preferred
• Healthcare revenue recognition experience (ASC 606, implicit price concessions); PI or out-of-network
• experience a plus
• Multi-entity consolidation and intercompany experience, ideally in a PE-backed environment
• NetSuite or comparable ERP experience
• Strong controls mindset, hands-on technical skills and clear executive communication

Key Relationships

• FO, VP Finance, Revenue Cycle, Operations, Legal & Compliance, external auditors, and outsourced accounting vendors.