Controller / Senior Accounting Manager

Role Summary Comprehensive Sleep Care Center is seeking a hands-on accounting leader to help strengthen the finance foundation of a growing multi-location healthcare platform. This role will support core accounting operations, including AP oversight, payroll/HRIS coordination, month-end close, reconciliations, cash flow visibility, GAAP-based reporting, and internal controls. The ideal candidate has experience in a fast-paced, multi-location healthcare, physician practice, MSO, or founder-led growth environment and is comfortable both managing day-to-day accounting and building scalable processes. In the near term, this role will focus on stabilizing close cadence, improving AP and payroll controls, strengthening reconciliations, and creating more consistent location-level financial reporting to support leadership visibility and decision-making. This is a hands-on role best suited for someone who can operate in a growing, founder-led environment where processes are still being built and improved. The right person will bring practical structure, follow-through, and financial discipline while working closely with leadership and cross-functional teams. Key Responsibilities Accounting Operations & Monthly Close

• Manage the monthly close process across the organization, ensuring financial results are completed timely, accurately, and consistently.
• Own or oversee general ledger activity, journal entries, account reconciliations, accruals, prepaid expenses, fixed assets, and balance sheet review.
• Help establish and maintain a structured close calendar with clear deadlines, ownership, supporting schedules, and review procedures.
• Improve the quality, consistency, and completeness of accounting records across locations, departments, and business lines.
• Identify accounting gaps, process issues, reconciliation needs, or reporting inconsistencies and implement practical solutions.
• Support finance leadership in creating a more disciplined month-end reporting and leadership review cadence. GAAP-Based & Multi-Location Financial Reporting
• Prepare and review monthly financial statements using GAAP-based reporting principles.
• Support multi-location financial reporting, including location-level, department-level, and business-line reporting where applicable.
• Ensure consistent accounting treatment for revenue, expenses, payroll, vendor expenses, shared costs, and allocations.
• Maintain reporting discipline across the P&L, balance sheet, and cash flow reporting.
• Help improve financial statement accuracy, comparability, and usefulness for leadership decision-making.
• Support ownership, lender, and leadership reporting needs as the company continues to build more consistent financial reporting practices.
• Work across multiple systems, data sources, and manual processes while helping improve reporting consistency and financial visibility. Accounts Payable Oversight & Spend Controls
• Oversee the accounts payable process, including invoice capture, coding, approvals, vendor management, and payment readiness.
• Strengthen AP controls around approvals, duplicate payment prevention, vendor setup, payment methods, and supporting documentation.
• Ensure major purchases are reviewed with appropriate support, including purchase approval, invoice review, receiving confirmation, packing slips, vendor statements, or other available documentation.
• Work cross-functionally with operations, DME, office/admin, purchasing, and finance teams to improve AP accountability and spend visibility.
• Review AP aging, vendor statements, and open invoice status to support cash planning and month-end close.
• Help establish recurring AP reporting, vendor reconciliation processes, and approval discipline.
• Ensure AP processes are scalable, documented, and aligned with broader financial reporting needs. Payroll, HRIS & Labor Reporting Oversight
• Oversee payroll and HRIS-related finance processes to ensure payroll data is accurate, timely, and appropriately reflected in the financial statements.
• Coordinate with HR/payroll resources to ensure payroll entries, benefits, deductions, PTO, bonuses, commissions, and related liabilities are properly recorded.
• Review payroll reporting for completeness, accuracy, and consistency across departments, locations, and business lines.
• Ensure payroll-related reconciliations, accruals, and supporting schedules are completed as part of the month-end close process.
• Support labor cost visibility, headcount reporting, and compensation-related reporting as the finance function matures.
• Partner with HR and operations to improve visibility into staffing costs, payroll trends, and labor-related financial drivers. Cash Flow Forecasting & Treasury Support
• Support finance leadership in developing and maintaining short-term and forward-looking cash flow forecasts.
• Monitor cash needs related to payroll, vendor payments, debt obligations, capital expenditures, taxes, and other operating requirements.
• Help improve visibility into working capital trends, AP timing, AR collections, and cash requirements.
• Support treasury processes, including bank activity review, cash reporting, and payment control procedures.
• Identify potential cash risks, timing issues, or liquidity needs and escalate appropriately. Internal Controls, Process Improvement & Team Accountability
• Strengthen accounting policies, SOPs, approval workflows, reconciliations, and documentation standards.
• Identify opportunities to improve financial controls, reduce manual work, and improve accuracy.
• Manage and support finance operations resources responsible for AP, payroll/HRIS, and related accounting workflows.
• Establish clear deadlines, ownership, review processes, and recurring reporting expectations.
• Build scalable accounting processes that can support a growing multi-location platform.
• Partner with leadership and finance advisors to bring more structure, discipline, and accountability to the finance function. Success in This Role Will Include
• A consistent monthly close calendar with clear ownership, deadlines, and supporting schedules.
• More accurate and timely financial statements.
• Improved AP controls and reduced duplicate, unsupported, or poorly documented payments.
• Payroll and labor costs accurately reflected in financial reporting.
• Stronger cash visibility and payment planning.
• More reliable multi-location, department-level, and business-line reporting.
• Clearer accounting workflows, documentation, and accountability across the finance function.
• Better financial visibility for leadership decision-making as the organization continues to grow. Required Qualifications
• Bachelor's degree in Accounting, Finance, or related field.
• 5+ years of progressive accounting, controllership, senior accounting, or finance operations experience.
• Strong understanding of GAAP accounting and month-end close processes.
• Experience managing AP, payroll accounting, account reconciliations, accruals, financial statements, and internal reporting.
• Experience working in a multi-location, healthcare, physician practice, MSO, or fast-growth business environment preferred.
• Ability to operate hands-on while also improving processes, controls, and team accountability.
• Strong Excel and financial reporting skills.
• Ability to work across multiple systems, data sources, and manual processes.
• Strong communication skills with the ability to work cross-functionally with operations, HR, vendors, and leadership. Preferred Qualifications
• CPA or CPA-track preferred, but not required depending on experience.
• Experience in founder-led or high-growth healthcare organizations.
• Experience with multi-location reporting, departmental P&Ls, shared cost allocations, and recurring financial reporting.
• Experience with payroll/HRIS systems, AP automation tools, accounting systems, and reporting tools.
• Prior experience managing accounting staff or finance operations resources.
• Experience supporting cash flow forecasting, ownership reporting, and recurring financial reporting packages.

Candidate Profile The right candidate will be practical, hands-on, organized, and comfortable bringing structure to an environment that is still maturing. This person should be able to manage day-to-day accounting responsibilities while also helping the company build stronger processes, controls, and reporting discipline over time. This role is not intended for someone who only wants to operate in a fully built accounting department. It is best suited for someone who can balance execution with process improvement and who understands the importance of financial clarity, accountability, and scalable infrastructure in a growing multi-location business.

Pay:

$80,000.00 - $100,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person