Corporate Controller

Precise Behavioral, Inc.; California; On-site; USD 160,000 - 210,000; Full time

Job summary

Precise Behavioral, Inc. is seeking a highly capable Controller to build scalable financial processes for a fast-growing behavioral healthcare provider.

You will lead monthly closes, manage multi-entity accounting across states, and partner with operations and revenue cycle teams to improve cash flow. The ideal candidate has 10–15+ years of accounting leadership, a CPA/MACC, and experience with Sage Intacct and external audits.

Qualifications

• 10–15+ years progressive accounting and finance experience.
• CPA and/or MACC strongly preferred.
• Controller or Assistant Controller experience in a fast-growing healthcare delivery business.
• Experience with Sage Intacct accounting software preferred.
• Deep understanding of Healthcare claims, reimbursement and Revenue Cycle Management.

Responsibilities

• Lead all close processes (monthly, quarterly, annual) with speed and accuracy.
• Build and manage accounting across multiple entities and states.
• Oversee AP/AR, Payroll, GL, reconciliations, accruals, and financial reporting.
• Manage intercompany accounting and consolidation within PC/MSO structures.
• Collaborate with operations and revenue cycle teams to improve collections and cash flow.
• Establish KPI-driven reporting and strong internal controls across the organization.
• Coordinate annual external audit processes and audit support.
• Support ongoing improvements for institutional-quality reporting and controls.

Skills

Financial leadership

GAAP proficiency

Audit coordination

Multi-entity accounting

Internal controls

Healthcare accounting

Revenue cycle knowledge

Education

Bachelor's in Accounting

CPA preferred

MACC preferred

Tools

Sage Intacct

QuickBooks Online

Rippling

Job description

At Precise Behavioral, we are building a scalable behavioral healthcare platform focused on delivering exceptional patient outcomes through operational rigor, clinical quality, and disciplined growth. As we continue expanding across markets and entities, we are investing in the financial infrastructure, systems, and leadership necessary to support a high-performance, multi-state healthcare organization.

Precise Behavioral (Precise) was established to revolutionize the behavioral healthcare ecosystem for patients, and providers. Precise is a physician-owned and led organization that enables a mix of digital, telehealth, in-person, and community resources for improved patient outcomes.

We are seeking an exceptional Controller who has operated successfully inside fast-growing, Venture- or PE-backed healthcare delivery businesses and understands what “good” looks like in a scaling provider platform. This is not a maintenance accounting role. We are looking for a highly capable operator who can build processes, improve controls, elevate reporting quality, and help create an institutional-grade finance function.

The ideal candidate combines strong technical accounting expertise with operational intensity, healthcare fluency, and the ability to thrive in a dynamic, high-accountability environment. Experience with behavioral health, physician practice management, MSOs, revenue cycle complexity, and multi-entity operations is highly valued.

Responsibilities

• Lead all aspects of the monthly, quarterly, and annual close process with a focus on speed, accuracy, and scalability
• Build and manage a disciplined accounting function across multiple entities and states
• You will oversee: Accounts Payable & Accounts Receivable, Payroll, General Ledger and Reconciliations, Accruals and journal entries, financial reporting
• Manage accounting within PC/MSO structures, including intercompany accounting and consolidation
• Partner closely with operations and revenue cycle teams to improve visibility into collections, claims, reimbursement trends, and cash flow
• Help establish KPI-driven reporting and operational accountability across the organization
• Oversee relationships with external tax advisors and ensure timely, accurate completion of all federal, state, and local tax filings across multiple entities and jurisdictions
• Coordinate and manage the annual financial audit process with external auditors, including preparation of audit support schedules, reconciliations, and required documentation
• Support ongoing improvement of financial controls and processes to meet institutional-quality reporting standards

Qualifications

• 10-15+ years of progressive accounting and finance experience
• A bachelor’s degree in accounting required. CPA and/or MACC is strongly preferred.
• Prior Controller or Assistant Controller experience in a fast-growing healthcare delivery business
• Prior experience implementing or managing Sage Intacct accounting software is preferred
• Deep understanding of: Healthcare claims, reimbursement and Revenue Cycle Management, Medical billing operations
• Multi-entity accounting
• Multi-state operations
• Experience operating within Venture- or PE-backed healthcare organizations strongly preferred
• Familiarity with PC/MSO structures and provider organization accounting
• Strong command of GAAP and healthcare accounting best practices
• Experience with QuickBooks Online, Rippling, and modern accounting/ERP systems
• Experience managing external audit processes and coordinating with third-party audit firms
• Familiarity with multi-state tax compliance and healthcare-related tax considerations
• Strong understanding of audit preparedness, internal controls, and financial documentation standards
• Experience supporting diligence processes, lender reporting, or investor-related financial requests is a plus
• Must reside in the Los Angeles, CA area

This position offers the opportunity to work in a supportive environment where you can make a meaningful impact on the lives of individuals seeking mental health care.