Financial Controller (Full-Charge) — Multi-Entity Healthcare

Axe Recruiting; Northern (KY); Hybrid; USD 120,000 - 170,000; Full time

Benefits offered by this job

Bonus

Job summary

Axe Recruiting is partnering with a high-growth healthcare platform seeking a hands-on Financial Controller (Full-Charge) to own the full accounting cycle, deliver consolidated reporting, and lead finance integrations as the company scales. The role is remote‑first within the U.S.

and reports to executive leadership. We’re looking for 8–12+ years of controllership experience in multi-site healthcare, with a strong close process, internal controls, and M&A integration expertise.

Qualifications

• 8–12+ years of accounting/controllership experience in multi-site healthcare.
• Experience leading month‑end close and audit‑readiness.
• Hands‑on M&A integration in roll‑ups or high‑acquisition settings.
• Systems‑savvy; integrate data between EMR/RCM and GL.

Responsibilities

• Lead GL, AP, AR, Payroll and monthly close across multi-site operations.
• Produce consolidated financials, entity roll-ups and board‑ready reporting.
• Build internal controls and a compliance calendar; maintain audit‑readiness.
• Drive M&A finance integration and push standardization across systems.

Skills

Multi-site healthcare

Multi-state payroll

Month-end close

M&A integration

Internal controls

ERP/GL integration

Education

CPA preferred

Tools

EMR/RCM integration

GL systems

ERP

Payroll systems

Job description

About the Opportunity

Axe Recruiting is partnering with a high-growth, multi-clinic healthcare platform operating across multiple states and legal entities. We’re hiring a hands‑on Financial Controller (Full-Charge) to own the full accounting cycle, deliver accurate, on‑time consolidated reporting, and lead finance integrations as the company scales organically and via acquisition. This role reports to executive leadership and is remote‑first within the U.S.

What You’ll Own

• Lead GL, AP, AR, Payroll and a consistent monthly close (T+5-T+7) across multi-company, multi-site, multi-state operations.

• Produce consolidated financials, entity roll‑ups, site‑level P&Ls, cash forecasts, board‑ready reporting, and variance analysis.

• Build/enforce internal controls and a rigorous compliance calendar (state/federal tax, sales/use tax, payroll, W-2/1099); maintain audit‑readiness.

• Drive M&A finance integration (opening balances, purchase accounting coordination, policy harmonization, vendor consolidation, systems/process standardization).

• Partner with Revenue Cycle leadership on collections visibility: DSO tracking, payer mix, and cash discipline.

• Manage a lean AP/AR/Payroll structure (internal & external partners); design the scale‑up plan for future hiring and upskilling.

• Own and modernize the finance systems stack (GL, AP automation, payroll, expense, fixed assets, consolidations; light BI) and push process automation.

What Great Looks Like (30-60-90)

• Day 30: Clean close at T+7; entity map documented; vendor master rationalized; compliance calendar live; open‑items log in place.

• Day 60: Standardized close checklist & reconciliations; first consolidated pack shipped on schedule; DSO trend reporting operational; budget model v1.

• Day 90: Controls walkthrough completed with remediation plan; M&A integration playbook drafted; steady T+5-T+7 close cadence.

What You’ve Done

• 8-12+ years progressive accounting/controllership with multi-site healthcare and multi-state payroll/tax (required).

• Led fast, accurate month‑end close and audit‑ready control environments.

• Hands‑on M&A integration experience in roll‑up or high‑acquisition settings.

• Systems‑savvy; comfortable stitching data between EMR/RCM and the GL.

• CPA preferred (or equivalent track record delivering controls + close in complex environments).

• Startup/high‑growth experience is valued.

Work Authorization

U.S. work authorization required; sponsorship is not available for this role.

Why Join

• Direct impact on the finance backbone of a growing healthcare platform.

• Executive visibility and the mandate to standardize, automate, and scale.

• Competitive cash compensation, bonus, and benefits; remote‑first with purposeful travel.