Remote Healthcare Controller: GAAP, Multi-Entity Leader

Ladders; United States; Remote; USD 190,000 - 230,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) with company match

Paid time off

Flexible remote policy

Professional growth opportunities

Job summary

Ladders is seeking a Controller (Remote Eligible) to lead the accounting function for a multi-entity healthcare organization. You will drive GAAP-compliant close processes, consolidate financials, and report to executive leadership.

In this hands-on leadership role, you will strengthen accounting policies, controls, and cash forecasting while partnering with lenders, auditors, and tax advisors to enable controlled growth in a regulated healthcare environment.

Qualifications

• Bachelor's degree in Accounting or Finance; CPA preferred.
• 12+ years of accounting/finance experience, with 3–5 years as Controller or Assistant Controller.
• Healthcare or related industry experience (pharmacy/340B) is a plus.

Responsibilities

• Lead the full financial close process for multiple entities, ensuring GAAP compliance.
• Prepare consolidated financial statements and executive-level reports.
• Oversee AP, AR, and payroll accounting.
• Establish and improve accounting policies and internal controls.
• Manage daily cash positioning and liquidity forecasting.
• Primary contact for lenders; manage covenants and compliance.
• Lead the external audit process and coordinate tax compliance activities.

Skills

GAAP expertise

Financial close leadership

Forecasting & analytics

Strategic partner with execs

Education

Bachelor's degree in Accounting/Finance

CPA certification

MBA or related advanced degree (preferred)

Tools

NetSuite

Oracle ERP

Advanced Excel

Job description

Ladders is seeking a Controller (Remote Eligible) to lead the accounting function for a multi-entity healthcare organization. You will drive GAAP-compliant close processes, consolidate financials, and report to executive leadership.

In this hands-on leadership role, you will strengthen accounting policies, controls, and cash forecasting while partnering with lenders, auditors, and tax advisors to enable controlled growth in a regulated healthcare environment.