Controller - HealthCare

Job Title: Controller – US Healthcare Company Location: Remote – Latin America Preferred Type of Contract: Full-Time | Independent Contractor Salary Range: $4,000–$5,000 USD per month, depending on experience and qualifications Language Requirements: Excellent written and spoken English Our client is seeking a skilled Controller with strong U.S. accounting experience and a background in healthcare services to oversee the accounting function for a growing homecare, hospice, and home health organization. With approximately $45 million in annual revenue, 350 full-time employees, and approximately 600 part-time care staff, you will play a key role in maintaining accurate financial reporting, strengthening accounting controls, and ensuring a timely and reliable month-end close. This role reports directly to the incoming CFO and serves as a critical accounting partner as their organization continues to grow. Key Responsibilities Own the monthly close process and ensure timely, accurate financial statements and supporting schedules across the organization. Maintain the integrity of the general ledger, including balance-sheet reconciliations, journal entries, accruals, prepaids, fixed assets, debt, payroll-related accounts, and intercompany activity. Ensure appropriate accounting policies, procedures, internal controls, and cutoff are consistently applied across entities, locations, departments, and service lines. Prepare management reporting and provide clear analysis of significant budget-to-actual and period-over-period variances for the CFO and leadership team. Work closely with the Payroll Lead and Billing Manager to ensure accounting records accurately reflect payroll, billing, collections, revenue, and related financial activity. Lead year-end financial statement audit or review preparation and coordinate with external accountants, tax advisors, payroll, billing, and operational stakeholders. Identify and implement improvements to accounting processes, reporting, automation, and close procedures using QuickBooks Online, Excel, Power BI, Reach Reporting, or similar systems. Must-Have Qualifications Bachelor’s degree in Accounting, Finance, or a related field. 10+ years of progressive accounting experience, including significant ownership of a monthly close and financial reporting process. Experience as a Controller, Assistant Controller, Accounting Manager, or comparable senior accounting professional. Strong knowledge of U.S. GAAP and accrual-basis accounting, with substantial experience supporting U.S.-based companies. Strong experience with financial statement preparation, balance-sheet reconciliations, general ledger review, and accounting controls. Advanced proficiency with QuickBooks Online and Microsoft Excel. Excellent written and spoken English, with the ability to work independently, meet deadlines, identify issues, and communicate financial matters clearly to the CFO. Preferred Qualifications CPA designation. Healthcare accounting experience, particularly within home health, homecare, hospice, or another multi-location healthcare services organization. Experience supporting organizations with $25M+ in revenue and a large employee or contracted care workforce. Experience managing accounting across multiple legal entities, locations, departments, or service lines. Experience leading a U.S. financial statement audit or review and improving or accelerating the month-end close. Familiarity with Homecare Homebase (HCHB), AxisCare, Power BI, Reach Reporting, or similar healthcare and financial reporting systems. Work Schedule: Full-time, 40 hours per week, with required overlap with U.S. business hours. The final schedule will be agreed upon with the selected candidate. Reports To: Chief Financial Officer Team Structure: The Controller works as part of a finance and accounting team that includes the CFO, Payroll Lead, and Billing Manager. This is an individual-contributor role with no direct reports.