Controller
Role Overview
The Controller at Finni Health is a senior leadership role focused on establishing a scalable accounting infrastructure in a healthcare MSO. Daily responsibilities include overseeing financial reporting, revenue recognition, and payroll accounting while collaborating with cross-functional teams to ensure financial integrity and operational alignment. This role is critical for supporting the company's growth and maintaining compliance in a complex financial environment.
Perks & Benefits
This remote position offers the flexibility to work from anywhere, catering to a diverse workforce. The role involves significant career growth opportunities as the company rapidly scales, fostering a dynamic and innovative culture. Employees can expect a collaborative environment that values their contributions and encourages process development from the ground up.
Full Job Description
Finni Health is seeking a Controller to build and lead the accounting function for a rapidly growing healthcare MSO. We're revolutionizing ABA clinics by helping providers grow their businesses while delivering top-tier patient care.
About the Role
This is a hands-on leadership role responsible for establishing a scalable accounting infrastructure in a complex, insurance-driven environment. The Controller will own the integrity of financial reporting, ensuring that revenue, AR, cash, and payroll accounting are accurate, repeatable, and fully reconciled. This role will work closely with Revenue Cycle Management (RCM), Finance Operations, and Executive leadership to create a reliable financial foundation as the company scales through its next stage of growth.
What You'll Own
Financial Reporting & Close
Own monthly, quarterly, and annual close processes
Build and maintain a scalable ≤10-day close cadence
Ensure integrity of the general ledger and financial reporting
Prepare internal financial statements and reporting packages
Revenue Recognition & AR
Own ongoing execution of revenue recognition in an insurance-based environment
Build and maintain a monthly revenue bridge: Billing activity → Net Revenue → Cash → AR
Ensure RCM outputs reconcile to the GL each month
Own AR accounting, aging, and reserve methodology
Accounting Operations & Controls
Design scalable accounting processes and SOPs
Establish internal controls and ensure GAAP compliance
Identify and remediate gaps in accounting workflows
Support audit readiness and future diligence processes
Payroll Accounting
Oversee payroll accounting, accurately reconciling bi-weekly pay periods and invoicing with monthly reporting
Partner with Finance Operations (who owns payroll execution)
Ensure payroll data is accurately reflected in the GL
Cross-Functional Partnership
Partner closely with Revenue Cycle Management (RCM), Finance Operations, and Executive leadership
Improve alignment between operational reporting and financial reporting
Help create visibility into revenue quality, collections, and AR performance
About You
8-10 years of healthcare accounting experience
Prior Controller or Assistant Controller Experience
Strong technical accounting foundation in healthcare revenue recognition
Experience operating in high-volume, scaling environments
Ability to build processes from 0-1
Cross-border (US-CAN) accounting experience (bonus)
Ready to make a significant impact at a rapidly growing healthcare startup? We'd love to hear from you!
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