Controller

Professional Alternatives; Sugar Land (TX); On-site; USD 120,000 - 170,000; Full time

Job summary

Professional Alternatives' healthcare client in Sugar Land, TX is seeking a hands-on Controller to build and lead the internal accounting and finance function as revenue grows.

The role oversees general ledger, billing, payroll, monthly closes, and financial reporting; partners with ownership on strategy and profitability across service lines, with a hands-on, entrepreneurial environment.

Qualifications

• Bachelor's degree in Accounting or Finance.
• 8+ years of progressive accounting and finance experience.
• Previous Controller, Assistant Controller, or Accounting Manager experience.
• Healthcare services, medical services, physician practice, or medical staffing experience strongly preferred.
• CPA preferred.
• Strong QuickBooks and advanced Excel skills.
• Experience with payroll, financial reporting, reconciliations, and month-end close.
• Understanding of healthcare billing, revenue cycle processes, and insurance documentation.
• Ability to establish accounting processes and operate independently in a growing organization.
• Strong communication skills and the ability to work directly with company ownership.

Responsibilities

• Establish and manage the internal accounting function.
• Transition accounting responsibilities from the current outsourced accountant.
• Manage general ledger, accounts payable, accounts receivable, journal entries, and account reconciliations.
• Establish and manage the monthly financial close process.
• Prepare monthly financial statements, cash flow reports, and management reporting.
• Review existing accounting records and bring financial reporting current.
• Maintain accurate accounting records and establish internal controls.
• Coordinate with outsourced billing companies to ensure timely and accurate billing.
• Oversee billing documentation and submission packets, including insurance information and operative reports.
• Monitor accounts receivable, collections, reimbursement activity, and outstanding billing.
• Track revenue generated by individual providers and revenue-producing employees.
• Develop reporting to measure revenue performance and profitability across service lines.
• Identify opportunities to improve billing processes and reduce revenue leakage.
• Manage payroll processing and related accounting.
• Coordinate employee onboarding and payroll setup.
• Maintain accurate employee compensation and payroll records.
• Establish scalable payroll and administrative processes to support continued growth.
• Develop cash flow forecasts, budgets, and financial projections.
• Monitor operating expenses, revenue trends, and profitability.
• Provide financial analysis to support hiring, expansion, and operational decisions.
• Develop financial reporting and KPIs for company leadership.
• Partner directly with ownership on financial performance and business growth.
• Evaluate current QuickBooks and Excel-based accounting processes.
• Implement standardized accounting procedures and reporting practices.
• Identify opportunities to improve efficiency through automation and technology.
• Recommend future accounting system enhancements as the organization grows.
• Build a scalable accounting infrastructure that supports the company's continued expansion.

Skills

Communication skills

Education

Bachelor's degree in Accounting or Finance

CPA preferred

Tools

QuickBooks

Excel

Job description

Job ID#: 43830

Our healthcare services client is seeking a hands‑on Controller to establish and lead their internal accounting and finance function as the organization continues to grow. With approximately $10 million in annual revenue, they provide specialized healthcare services across surgical assistance, intraoperative neuromonitoring, and radiology billing.

Currently supported by an outsourced accounting resource, the company is bringing its accounting and financial operations in‑house to support continued growth, improve financial visibility, and establish scalable processes.

Reporting directly to company leadership, the Controller will take ownership of all accounting operations, financial reporting, payroll, onboarding coordination, and billing oversight. This individual will play an important role in building the company's financial infrastructure while providing leadership with the reporting and analysis needed to make informed business decisions.

The ideal candidate has experience within a healthcare services, medical services, or physician services organization and is comfortable operating in a hands‑on, entrepreneurial environment.

Key Responsibilities:

Accounting & Financial Reporting

• Establish and manage the company's internal accounting function.
• Transition accounting responsibilities from the current outsourced accountant.
• Manage general ledger, accounts payable, accounts receivable, journal entries, and account reconciliations.
• Establish and manage the monthly financial close process.
• Prepare monthly financial statements, cash flow reports, and management reporting.
• Review existing accounting records and bring financial reporting current.
• Maintain accurate accounting records and establish internal controls.

Healthcare Billing & Revenue Oversight

• Coordinate with outsourced billing companies to ensure timely and accurate billing.
• Oversee billing documentation and submission packets, including insurance information and operative reports.
• Monitor accounts receivable, collections, reimbursement activity, and outstanding billing.
• Track revenue generated by individual providers and revenue‑producing employees.
• Develop reporting to measure revenue performance and profitability across service lines.
• Identify opportunities to improve billing processes and reduce revenue leakage.

Payroll & Administrative Oversight

• Manage payroll processing and related accounting.
• Coordinate employee onboarding and payroll setup.
• Maintain accurate employee compensation and payroll records.
• Establish scalable payroll and administrative processes to support continued growth.

Financial Planning & Business Partnership

• Develop cash flow forecasts, budgets, and financial projections.
• Monitor operating expenses, revenue trends, and profitability.
• Provide financial analysis to support hiring, expansion, and operational decisions.
• Develop financial reporting and KPIs for company leadership.
• Partner directly with ownership on financial performance and business growth.

Process Improvement & Infrastructure

• Evaluate current QuickBooks and Excel‑based accounting processes.
• Implement standardized accounting procedures and reporting practices.
• Identify opportunities to improve efficiency through automation and technology.
• Recommend future accounting system enhancements as the organization grows.
• Build a scalable accounting infrastructure that supports the company's continued expansion.

Qualifications:

• Bachelor's degree in Accounting or Finance.
• 8+ years of progressive accounting and finance experience.
• Previous Controller, Assistant Controller, or Accounting Manager experience.
• Healthcare services, medical services, physician practice, or medical staffing experience strongly preferred.
• CPA preferred.
• Strong QuickBooks and advanced Excel skills.
• Experience with payroll, financial reporting, reconciliations, and month‑end close.
• Understanding of healthcare billing, revenue cycle processes, and insurance documentation.
• Ability to establish accounting processes and operate independently in a growing organization.
• Strong communication skills and the ability to work directly with company ownership.