At Precise Behavioral, we are building a scalable behavioral healthcare platform focused on delivering exceptional patient outcomes through operational rigor, clinical quality, and disciplined growth. As we continue expanding across markets and entities, we are investing in the financial infrastructure, systems, and leadership necessary to support a high-performance, multi-state healthcare organization.
We are seeking an exceptional Controller who has operated successfully inside fast-growing, Venture- or PE-backed healthcare delivery businesses and understands what “good” looks like in a scaling provider platform. This is not a maintenance accounting role. We are looking for a highly capable operator who can build processes, improve controls, elevate reporting quality, and help create an institutional-grade finance function.
The ideal candidate combines strong technical accounting expertise with operational intensity, healthcare fluency, and the ability to thrive in a dynamic, high-accountability environment. Experience with behavioral health, physician practice management, MSOs, revenue cycle complexity, and multi-entity operations is highly valued.
Responsibilities:
- Lead all aspects of the monthly, quarterly, and annual close process with a focus on speed, accuracy, and scalability
- Build and manage a disciplined accounting function across multiple entities and states
- You will oversee: Accounts Payable & Accounts Receivable, Payroll, General Ledger and Reconciliations, Accruals and journal entries, financial reporting
- Manage accounting within PC/MSO structures, including intercompany accounting and consolidation
- Partner closely with operations and revenue cycle teams to improve visibility into collections, claims, reimbursement trends, and cash flow
- Help establish KPI-driven reporting and operational accountability across the organization
- Oversee relationships with external tax advisors and ensure timely, accurate completion of all federal, state, and local tax filings across multiple entities and jurisdictions
- Coordinate and manage the annual financial audit process with external auditors, including preparation of audit support schedules, reconciliations, and required documentation
- Support ongoing improvement of financial controls and processes to meet institutional-quality reporting standards
Qualifications:
- 10-15+ years of progressive accounting and finance experience
- A bachelor’s degree in accounting required. CPA and/or MACC is strongly preferred.
- Must reside in the Los Angeles, CA area
- Prior Controller or Assistant Controller experience in a fast-growing healthcare delivery business
- Prior experience implementing or managing Sage Intacct accounting software is preferred
- Deep understanding of: Healthcare claims, reimbursement and Revenue Cycle Management, Medical billing operations
- Multi-entity accounting
- Multi-state operations
- Experience operating within Venture- or PE-backed healthcare organizations strongly preferred
- Familiarity with PC/MSO structures and provider organization accounting
- Strong command of GAAP and healthcare accounting best practices
- Experience with QuickBooks Online, Rippling, and modern accounting/ERP systems
- Experience managing external audit processes and coordinating with third-party audit firms
- Familiarity with multi-state tax compliance and healthcare-related tax considerations
- Strong understanding of audit preparedness, internal controls, and financial documentation standards
- Experience supporting diligence processes, lender reporting, or investor-related financial requests is a plusThis position offers the opportunity to work in a supportive environment where you can make a meaningful impact on the lives of individuals seeking mental health care.