Controller

• Execute and oversee daily accounting functions including journal entries, general ledger maintenance, and bank reconciliations
• Monitor daily balances, track cash flow projections, and maintain strong liquidity oversight across accounts
• Ensure timely and accurate processing of accounts payable and receivable.

• Collaborate closely with our external Revenue Cycle Management (RCM) partner to monitor collection trends, resolve payment delays, and ensure stable cash flow.
• Manage the month-end close process to ensure timely and accurate financial reporting.

• Prepare monthly, quarterly, and annual financial reports (income statements, balance sheets, cash flow statements)
• Lead monthly financial review meetings with key stakeholders and provide narrative analysis of performance trends, risks, and opportunities

• Lead the annual budgeting process, working closely with department heads to develop aligned financial plans
• Build and maintain rolling forecasts in response to evolving practice needs, resource changes, or external market conditions

• Support business development and expansion initiatives (e.g., new clinics, vendor transitions, service line launches) through financial modeling and budget planning
• Lead initiatives to improve accounting workflows, expense tracking, and data accuracy across systems and departments
• Partner with leadership in negotiating with insurance payers by preparing reimbursement analysis, advocating for fee schedule adjustments, and contributing to payer strategy and rate review cycles.

• Serve as the primary liaison with the external accounting firm for annual tax filings, quarterly estimates, and audit preparation.

• 5+ years of progressive accounting experience, including hands-on execution and financial leadership
• Bachelor’s degree in Accounting, Finance, or a related field (required); CPA or MBA strongly preferred
• Prior experience in healthcare, behavioral health, or multi-site practice settings required.
• Proven expertise in GAAP, internal controls, and cash-based and accrual-based accounting methods
• Proficiency in QuickBooks and Microsoft Excel; experience with accounting system integrations and reporting tools is a plus
• Strong analytical and problem-solving skills, with demonstrated ability to translate data into actionable insights
• High attention to detail and accuracy in all financial tasks and reporting
• Exceptional organizational skills with the ability to manage multiple deadlines and priorities effectively
• Excellent written and verbal communication skills, with the ability to clearly explain financial concepts to non-financial stakeholders

• Financially minded with a strong sense of ownership, accuracy, and accountability
• Trustworthy and discreet in handling confidential and sensitive financial data
• Confident communicator who can explain financial concepts clearly to non-financial stakeholders
• Adaptable and solution-oriented, able to navigate ambiguity and drive process improvements
• Approachable and collaborative, with a leadership style that supports and elevates others
• Committed to professional excellence and continuous improvement in both individual and team performance

• Salary - $95,000 – 115,000 / year
• Paid Time Off (PTO) – 10 days (80 hours) plus one (1) day for each year of employment at iTrust for a possible maximum of 15 days (120 hours).
• Paid Company Holidays – 5 days (Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving) 
• Paid End-of-Year Break (Dec. 24-Jan. 1) – office-wide closure for the holidays to rest and recuperate. 

• Medical, Dental, and Vision Insurance – Company Contributed
• Short-Term and Long-Term Disability Insurance – 100% Company Covered 
• Life Insurance Policy – 100% Company Covered 
• 401K with Employer Match

Note: This job description is intended to convey essential duties and responsibilities and is not an exhaustive list of all functions and tasks required. The company reserves the right to modify the duties and responsibilities of the position as necessary. Please submit your resume, to be considered for this position. Current or previous patients of iTrust Wellness Group are ineligible to apply.