VP Controller — High-Growth Healthcare Finance Leader

Synergy Search; Nashville (TN); On-site; USD 180,000 - 240,000; Full time

Job summary

Synergy Search is seeking a VP, Controller for a fast-growing, multi-site healthcare services organization. The role reports to the CFO and oversees a 60–80 person accounting team across multiple entities, requiring strong technical accounting judgment and credible leadership.

Responsibilities include leading the monthly close, driving standardization and automation, and supporting acquisitions and integrations.

Qualifications

• 12+ years of progressive accounting leadership experience in public or corporate accounting.
• Big Four or large regional public accounting background preferred.
• Active CPA license preferred, not required.
• Healthcare or multi-site services industry experience a plus.
• Strong knowledge of US GAAP and internal controls.
• Excellent communication and executive presence; comfortable engaging with non-financial stakeholders.
• Proven ability to lead through growth, change, and organizational scaling.

Responsibilities

• Lead the monthly close process across a large, multi-entity portfolio.
• Manage and develop a multi-layered accounting team, including senior direct reports.
• Drive standardization and automation initiatives across accounting processes and systems.
• Serve as a trusted advisor to the CFO on team priorities, structure, and talent development.
• Partner cross-functionally with FP&A, Operations, and Corporate Development.
• Support accounting integration for new acquisitions and business combinations.
• Develop, communicate, and enforce financial reporting policies and internal controls.
• Ensure timely, accurate completion of balance sheet reconciliations and financial reporting deliverables.

Skills

Accounting leadership

US GAAP

Internal controls

Executive presence

Cross-functional collaboration

Education

CPA preferred

Tools

ERP systems

Job description

Synergy Search is seeking a VP, Controller for a fast-growing, multi-site healthcare services organization. The role reports to the CFO and oversees a 60–80 person accounting team across multiple entities, requiring strong technical accounting judgment and credible leadership.

Responsibilities include leading the monthly close, driving standardization and automation, and supporting acquisitions and integrations.