Full-Time Controller

Controller

Position Type: Full-Time Controller

Compensation: TBA

Job Location: Remote (with oversight of international team)

Company Overview: 

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services, including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation. 

As a leading edge, innovative, and quality driven physician group, we continue to expand nationally.  In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team.

Position Overview: 

The Controller will be a critical member of Theoria Medical’s finance leadership team, responsible for managing all accounting operations in accordance with U.S. GAAP. This individual will own the month-end close, general ledger (GL), annual audit process, tax reporting and financial controls. The Controller will report directly to the CFO and play a key role in scaling the finance function to support Theoria’s rapid growth in a complex, multi-entity healthcare environment.

Responsibilities:

• Lead and own the monthly, quarterly, and annual close process.
• Maintain the general ledger and ensure accurate and timely financial reporting.
• Oversee journal entries, account reconciliations, and financial statement preparation in compliance with GAAP.
• Serve as the primary point of contact for external auditors.
• Prepare audit schedules, manage audit workflow, and ensure timely completion of annual financial audits.
• Ensure compliance with all relevant federal, state, and industry regulations.
• Establish and maintain internal controls, accounting policies, and procedures.
• Support revenue recognition processes in compliance with ASC 606, particularly for Fee-for-Service, CCM, stipends, and ACO shared savings.
• Serve as the primary tax liaison coordinating with external tax advisors (BDO) to ensure timely and accurate preparation of all tax deliverables, including gathering required documentation and meeting all federal, state, and local tax deadlines. 
• Oversee fixed asset management, accruals, intercompany transactions, and consolidations.
• Manage and mentor an overseas accounting team to ensure operational excellence and accuracy.
• Implement process improvements and automation initiatives to drive efficiency and scalability.
• Collaborate cross-functionally with operations, billing, and clinical departments to resolve accounting issues and ensure financial accuracy.
• Provide ad hoc financial analysis and decision support to CFO and executive leadership.

Requirements and Qualifications:

Education & Certification

• Bachelor’s degree in Accounting, Finance, or related field required
• Certified Public Accountant (CPA) required

Experience

• Minimum 10+ years of progressive accounting experience, including advancement into Controller or senior finance roles. 
• Demonstrated expertise in U.S. GAAP, with strong knowledge of ASC 606

Skills & Attributes

• Hands-on, solution-driven, and able to thrive in a fast-paced, dynamic environment.
• Excellent leadership and team management skills, including experience managing remote or offshore teams.
• Highly analytical with attention to detail and strong problem-solving ability
• Strong systems proficiency (QuickBooks, Sage Intact, or similar ERP; Excel; and reporting tools)
• Experience implementing Sage Intact is preferred.

Preferred Experience

• Background in healthcare services or revenue cycle management.
• Experience in a private equity-backed environment is strongly preferred.
• Familiarity with value-based care models, including ACOs and shared savings programs.
• Experience with financial planning and analysis is a plus.

Compensation and Benefits:

• Paid time off (PTO) and holidays
• 401(k) plan with employer matching contributions
• Short-term and long-term disability insurance
• Medical, vision, and dental insurance
• Employer-paid life insurance policy

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation.  Employer retains the right to change or assign other duties to this position.

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