Controller - Healthcare

The Encompass Group; Houston (TX); On-site; USD 100,000 - 150,000; Full time

Job summary

The Encompass Group is hiring a Controller in Houston, Texas, to lead financial performance and operational execution for a growing healthcare practice. The role requires a strategic thinker with 8-15+ years in finance or operations, preferably in healthcare. Responsibilities include financial reporting, partnering on growth strategies, and driving operational improvements. This isn't just an accounting role; it's for someone ready to take hands-on ownership and support leadership development.

Qualifications

• 8–15+ years of experience in finance and/or operations leadership.
• Background as a Controller, VP of Finance, or similar level role (healthcare preferred).
• Experience in multi-site environments, ideally within a healthcare or specialty practice setting.

Responsibilities

• Own the full financial picture including reporting, forecasting, and cash flow.
• Build and improve timely, accurate reporting across multiple locations.
• Partner directly with ownership on growth strategy and key initiatives.

Skills

Finance leadership

Operational decision-making

Analytical skills

Process improvement

Job description

The Encompass Group is partnering with a rapidly growing private healthcare practice to hire a Controller who will act as a true right-hand to ownership, leading both financial performance and operational execution.

This isn’t a back-office accounting role. It’s a hands-on, player-coach position for someone who can think strategically but is just as comfortable diving into the day-to-day.

What you’ll be doing:

• Own the full financial picture including reporting, forecasting, and cash flow
• Build and improve timely, accurate reporting across multiple locations
• Use systems like athenahealth to analyze trends and help guide decisions
• Partner directly with ownership on growth strategy and key initiatives
• Drive operational improvements across clinics, patient access, and workflows
• Support and develop existing leadership, including a strong COO/VP-level partner
• Identify inefficiencies and put scalable processes in place
• Serve as a trusted advisor in both financial and operational decision-making

What they’re looking for:

• 8–15+ years of experience in finance and/or operations leadership
• Background as a Controller, VP of Finance, or similar level role (healthcare preferred)
• Experience in multi-site environments, ideally within a healthcare or specialty practice setting
• Strong operational mindset with the ability to connect numbers to real business impact
• Comfortable in a fast-paced, build-as-you-go environment
• Someone who executes, not just strategizes