Works closely with: Strategic Finance Partner, VP Operations, RCM leadership, HR, department leaders, and external accounting/tax resources Role Summary Comprehensive Sleep Care Center is seeking a hands-on Account Manager/Controller to own the day-to-day Finance and Accounting function for a growing multi-location healthcare platform. The role is accountable for monthly close, GAAP reporting, revenue accounting, AP, payroll accounting, cash forecasting, budget/forecast support, DME inventory accounting, controls, and recurring management reporting. The Account Manager/Controller will ensure underlying records, schedules, reconciliations, and recurring Finance deliverables are complete and reliable, while partnering with the Strategic Finance Partner, CEO/founders, VP Operations, and functional leaders on planning, performance, and strategic initiatives. The right candidate brings structure, prioritization, and scalable processes to a founder-led environment.

Key Responsibilities

Accounting Operations & Monthly Close · Own the monthly close process, including the close calendar, deadlines, issue resolution, and timely, accurate results. · Own or oversee general ledger activity, journal entries, bank/credit card and account reconciliations, accruals, prepaids, fixed assets, and balance sheet review. · Maintain supporting schedules, tie-outs, review procedures, and a documented close checklist/accounting roadmap. GAAP-Based, Revenue & Multi-Location Financial Reporting · Own the timely completion of the Company’s cash-to-accrual conversion, working with the Strategic Finance Partner as needed, and establish the supporting schedules, reconciliations, and processes required to sustain accurate GAAP-based accrual reporting going forward. · Prepare and review monthly GAAP financial statements with supporting schedules reconciled to the general ledger. · Own Medical and DME revenue accounting, including recognition inputs, source-data mapping, estimates, cash receipts/deposits/lockbox activity, and recurring GL tie-outs in partnership with RCM and external billing resources. · Produce consistent location, specialty/department, and business-line reporting with disciplined allocations and accounting treatment. · Deliver a complete, reconciled, decision-ready management reporting package with variance commentary and supporting schedules. Budgeting, Forecasting & Management Reporting · Manage annual budget and recurring forecast mechanics, including departmental inputs, supporting schedules, consolidation, and actual-to-plan reporting. · Partner with the CEO/founders, VP Operations, and Strategic Finance Partner on assumptions, scenario analysis, performance interpretation, and executive planning. · Ensure KPI and management reporting uses accurate, consistently defined financial data tied to the financial statements. Accounts Payable, Purchasing & Spend Controls · Own AP oversight, including invoice capture, coding, approvals, vendor setup, payment readiness, AP aging, credits, and recurring reporting. · Strengthen purchasing/payment controls, documentation, duplicate-payment prevention, vendor reconciliation, and major-purchase review. · Partner with Operations, DME, purchasing, and other leaders on spend visibility and payment timing to support cash planning and close. Payroll Accounting & Labor Reporting · Own payroll accounting and controls, including journal entries, reconciliations, accruals, supporting schedules, and related liabilities. · Coordinate with HR/payroll resources to ensure benefits, deductions, PTO, bonuses, commissions, provider compensation, taxes, and related items are recorded accurately. · Review payroll, headcount, and labor-cost reporting across departments, locations, and business lines, partnering with HR/Operations on HRIS workflows while Finance owns payroll accounting and reporting. Cash Flow Forecasting, Treasury & Working Capital · Own and maintain recurring short-term cash forecasting and liquidity reporting for leadership. · Monitor working-capital and liquidity drivers, including payroll, vendor payments, debt, capex, taxes, AP timing, AR collections, and expected receipts. · Oversee bank activity, cash reporting, deposits, and payment controls; identify and escalate cash or liquidity risks timely. DME Inventory & Cost Accounting · Maintain appropriate accounting for DME inventory, purchasing, receiving, COGS, cutoff, vendor credits, and related balance sheet accounts. · Partner with DME Operations on inventory counts, reconciliations, variances, product costs, and margin drivers. Internal Controls, Systems & Team Leadership · Strengthen accounting policies, SOPs, approval workflows, reconciliations, documentation, and review controls. · Direct, prioritize, and review accounting/finance staff and external resources supporting AP, payroll, reconciliations, reporting, and related workflows. · Set clear deadlines, ownership, quality standards, and escalation expectations while improving systems, standardized schedules, data flows, automation, and scalable infrastructure. · Coordinate year-end accounting/tax support, CPA and lender/ownership requests, and cross-training. Strategic Finance & Cross-Functional Partnership · Partner with the Strategic Finance Partner on financial planning and forecasting, management reporting, performance analysis, KPI development, and other strategic finance priorities. · Partner with the CEO/founders, VP Operations, and Strategic Finance Partner on capital planning, M&A and integration activities, major investments, and other strategic initiatives requiring financial analysis, diligence, or decision support. · Partner with the VP of Operations to strengthen financial visibility into operating performance, including labor, departmental and location performance, spending, budgeting, and key operational drivers. · Partner with RCM leadership to ensure appropriate financial visibility into revenue cycle performance, cash collections, accounts receivable, revenue trends, and related financial statement impacts, while maintaining clear functional ownership between Finance and RCM. Success in This Role Will Include · Consistent monthly close with reconciled balances, complete support, and clear ownership. · Accurate, presentation-ready financial and management reporting tied to the general ledger and useful for decision-making. · Reliable revenue, cash, payroll, AP, inventory, and balance sheet accounting with recurring reconciliations. · Consistent visibility by location, specialty/department, and business line, with disciplined allocations and actual-to-plan reporting. · Maintained cash forecast, budget/forecast cadence, and clear Finance workflows, controls, documentation, and accountability. · A Finance function that independently owns day-to-day execution and recurring reporting, allowing leadership and Strategic Finance to focus on planning, performance optimization, and strategic decisions. Required Qualifications · Bachelor's degree in Accounting, Finance, or related field. · 7+ years of progressive accounting/controllership experience, including ownership of month-end close, financial reporting, and recurring Finance deliverables. · Strong GAAP foundation and experience with balance sheet reconciliations, revenue/expense accounting, accruals, and financial statement preparation. · Experience overseeing AP, payroll accounting, cash activity, reconciliations, and recurring management reporting. · Demonstrated ability to lead and prioritize the work of accounting staff or external resources. · Hands-on operator able to improve processes, controls, systems, and team accountability. · Strong Excel, reporting, communication, and judgment skills; able to work cross-functionally across systems and data sources. · Ability and willingness to be onsite regularly; monthly presence is expected based on business needs, with at least quarterly onsite presence required. Preferred Qualifications · Experience in multi-location healthcare, physician practice, MSO, DME, or another founder-led/high-growth environment. · Experience with multi-location/business-line reporting, departmental P&Ls, shared-cost allocations, healthcare revenue accounting, and inventory/cost accounting. · Experience with budgeting/forecasting and recurring management reporting. · Public accounting experience preferred; Big Four or national firm experience is a plus. · ERP/accounting/reporting system implementation or finance process transformation experience, including automation tools, preferred. · M&A, acquisition integration, or post-transaction finance/accounting integration experience preferred. CPA or CPA-track preferred, but not required. Pay: $115,000.00 - $130,000.00 per year Benefits 401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Paid time off Vision insurance Work from home Work Location: In person