Controller

Finni Health is seeking a Controller to build and lead the accounting function for a rapidly growing healthcare MSO. We're revolutionizing ABA clinics by helping providers grow their businesses while delivering top-tier patient care.

About the Role
This is a hands-on leadership role responsible for establishing a scalable accounting infrastructure in a complex, insurance-driven environment. The Controller will own the integrity of financial reporting, ensuring that revenue, AR, cash, and payroll accounting are accurate, repeatable, and fully reconciled. This role will work closely with Revenue Cycle Management (RCM), Finance Operations, and Executive leadership to create a reliable financial foundation as the company scales through its next stage of growth.

What You'll Own
Financial Reporting & Close
Own monthly, quarterly, and annual close processes

Build and maintain a scalable ≤10-day close cadence

Ensure integrity of the general ledger and financial reporting

Prepare internal financial statements and reporting packages

Revenue Recognition & AR
Own ongoing execution of revenue recognition in an insurance-based environment

Build and maintain a monthly revenue bridge: Billing activity → Net Revenue → Cash → AR

Ensure RCM outputs reconcile to the GL each month

Own AR accounting, aging, and reserve methodology

Accounting Operations & Controls
Design scalable accounting processes and SOPs

Establish internal controls and ensure GAAP compliance

Identify and remediate gaps in accounting workflows

Support audit readiness and future diligence processes

Payroll Accounting
Oversee payroll accounting, accurately reconciling bi-weekly pay periods and invoicing with monthly reporting

Partner with Finance Operations (who owns payroll execution)

Ensure payroll data is accurately reflected in the GL

Cross-Functional Partnership
Partner closely with Revenue Cycle Management (RCM), Finance Operations, and Executive leadership

Improve alignment between operational reporting and financial reporting

Help create visibility into revenue quality, collections, and AR performance

About You
8-10 years of healthcare accounting experience

Prior Controller or Assistant Controller Experience

Strong technical accounting foundation in healthcare revenue recognition

Experience operating in high-volume, scaling environments

Ability to build processes from 0-1

Cross-border (US-CAN) accounting experience (bonus)

Ready to make a significant impact at a rapidly growing healthcare startup? We'd love to hear from you!