Controller | Remote Puerto Rico

Location: Remote – Puerto Rico
Job Type: Full-Time, Exempt | Monday–Friday | Day Shift

About the Role

We are seeking an experienced and strategic Controller to lead accounting operations and help strengthen the financial foundation of a growing healthcare organization.

The Controller will serve as a key financial leader, overseeing accounting operations, financial reporting, internal controls, compliance, cash flow management, budgeting support, audits, and financial systems. Working closely with the Chief Financial Officer and cross-functional leadership, this role will ensure financial accuracy, operational excellence, and informed decision-making across the organization.

The ideal candidate is a hands-on accounting professional with strong technical expertise, proven leadership experience, and the ability to thrive in a fast-paced and evolving healthcare environment.

What You'll Do

Financial Reporting & Accounting Operations

• Lead all accounting functions, including general ledger, accounts payable, accounts receivable, payroll reconciliation, fixed assets, and month-end close.

• Prepare and review accurate monthly, quarterly, and annual financial statements in accordance with GAAP.

• Ensure the integrity and consistency of financial reporting across entities and business units.

• Maintain effective accounting policies, procedures, and documentation.

Financial Planning & Analysis

• Partner with the CFO on annual budgeting, forecasting, and long-range financial planning.

• Analyze financial results, KPIs, trends, risks, and opportunities.

• Develop financial analyses and management reports to support strategic decisions.

• Partner with operational leaders to understand financial performance and budget variances.

Internal Controls & Compliance

• Develop, implement, and maintain strong internal controls.

• Monitor compliance with accounting standards, regulatory requirements, and company policies.

• Identify financial risks and recommend appropriate mitigation strategies.

• Support compliance initiatives related to healthcare regulations and financial reporting.

Cash Flow & Treasury Management

• Monitor cash flow and working capital requirements.

• Oversee receivables, payables, and cash management activities.

• Partner with leadership to optimize cash management and financial performance.

• Assist with banking relationships and treasury initiatives.

Audit & Tax

• Serve as the primary liaison with external auditors, tax advisors, and financial consultants.

• Coordinate annual audits and manage audit requests.

• Support federal, state, and local tax filings through external partners.

• Ensure timely compliance with financial reporting, tax, and regulatory requirements.

Process Improvement & Financial Systems

• Identify opportunities to improve accounting processes, efficiency, accuracy, and scalability.

• Lead or support ERP, accounting, and financial reporting system implementations and enhancements.

• Drive automation and technology initiatives that improve reporting and financial processes.

• Develop financial dashboards and performance reporting tools as needed.

Leadership & Strategic Partnership

• Lead, coach, and develop the accounting team.

• Establish clear performance expectations and promote accountability.

• Partner with executive leadership on growth initiatives, acquisitions, and operational improvements.

• Translate complex financial information into actionable recommendations.

• Promote a culture of collaboration, transparency, innovation, and financial stewardship.

Required Qualifications

• Bachelor's degree in Accounting, Finance, or a related field.

• 7+ years of progressive accounting and finance experience.

• 3+ years of leadership or management experience overseeing accounting functions and teams.

• Strong experience with month-end close, financial reporting, and internal controls.

• Strong knowledge of GAAP and accounting best practices.

• Experience with budgeting, forecasting, cash flow management, and financial analysis.

• Understanding of regulatory compliance and audit processes.

• Advanced Microsoft Excel skills, including pivot tables, complex formulas, and financial modeling.

• Experience with ERP/accounting platforms such as NetSuite, Sage Intacct, QuickBooks Enterprise, or similar systems.

• Proven ability to lead, mentor, and develop accounting professionals.

• Excellent analytical, organizational, communication, and problem-solving skills.

• High level of integrity, professionalism, confidentiality, and attention to detail.

• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

• Ability to communicate financial information effectively to both financial and non-financial stakeholders.

Preferred Qualifications

• CPA strongly preferred.

• Master's degree in Accounting, Finance, Business Administration, or a related field.

• Experience in healthcare, healthcare technology, telehealth, physician practice management, or multi-entity organizations.

• Public accounting experience.

• Experience with Power BI, Tableau, or other business intelligence and data visualization platforms.

• Experience supporting organizational growth, process transformation, or system implementations.

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance