Controller; Brooklyn, NYC

About the Organization

A well‑established, mission‑driven healthcare services organization with decades of operating history is seeking a strategic and hands‑on finance leader. The organization is a licensed provider operating across the New York metropolitan area, delivering essential in‑home healthcare services and partnering closely with state agencies and healthcare institutions.

The company is committed to operational excellence, regulatory compliance, and high‑quality care, with a strong focus on growth, financial discipline, and continuous improvement.

The Controller / VP of Finance will lead all financial operations of the organization, balancing day‑to‑day execution with strategic leadership. This individual will be responsible for ensuring audit‑ready financials, regulatory compliance, accurate reporting, and strong internal controls while serving as a key advisor to executive leadership.

The role oversees accounting, revenue cycle, payroll, budgeting, cash management, and banking relationships, and plays a critical role in supporting scalability, operational efficiency, and long‑term strategic initiatives.

• Oversee all accounting functions including general ledger, month‑end close, and GAAP‑compliant financial reporting
• Maintain audit‑ready documentation and manage external audit processes
• Lead accounts receivable, accounts payable, payroll, and full revenue cycle operations
• Oversee multi‑entity accounting across for‑profit and nonprofit structures

• Manage cash flow forecasting and working capital
• Serve as primary contact for banking relationships and loan covenant compliance
• Support executive leadership with financial reporting and lender communication

• Ensure compliance with healthcare financial regulations and government contract requirements
• Oversee Medicaid and Medicare billing compliance
• Manage tax filings and reporting requirements
• Implement and strengthen financial controls and risk management processes

• Lead annual budgeting and forecasting processes
• Deliver variance analysis and financial insights to leadership
• Identify and implement EBITDA improvement initiatives
• Partner with operations to translate financial data into performance improvement actions

• Contribute to strategic planning and executive decision‑making
• Prepare financial analysis for potential strategic transactions
• Evaluate and optimize financial systems and reporting tools
  
  Lead and develop a high‑performing finance team across accounting, payroll, AR, and AP
• Establish accountability, process discipline, and continuous improvement
• Assess team capabilities and align talent with organizational needs

• Bachelor’s degree in Accounting, Finance, or related field
• 8+ years of progressive accounting and finance experience
• 5+ years in a leadership role (Assistant Controller, Controller, Director of Finance, or AVP/VP level)
• Strong knowledge of GAAP and financial reporting standards
• Deep expertise in revenue cycle, AR/AP, payroll, and cash management
• Experience managing banking relationships and financial covenants
• Strong analytical and leadership skills

• CPA or MBA
• Healthcare industry experience, particularly home health or home care
• Experience with Medicaid/Medicare billing and government contracts
• Multi‑entity accounting experience (including nonprofit structures)
• Experience supporting M&A or private equity transactions