Controller - Remote - Nationwide

Overview In this remote role, you lead the design and maintenance of internal controls and robust financial reporting processes to support accurate GAAP reporting. You will manage close cycles, convert GAAP statements to cash basis for distributions and tax prep, and present results to executives. You’ll oversee tax strategy, payroll for partners and staff, and ensure regulatory compliance across states. The position sits within a culture focused on collaboration, professional growth, and meaningful impact on patient care and communities. Compensation / BenefitsSuperior health plan optionsTop Tier 401(k) with match and profit-sharingGenerous paid time offStudent Loan Refinancing DiscountsProfessional and Career Development ProgramEAP and wellness programs ResponsibilitiesImplement and maintain internal controls to safeguard assetsStreamline close and reporting cycles for timely, accurate statementsEnsure GAAP-compliant accounting for stipend, receivables, payroll, and liabilitiesPrepare GAAP-based financial statements and convert to cash basis where neededPresent financial information to CFO, executives, and board committeesOversee annual cash basis profit distributions and partner earnings allocationsConduct audits and liaise with external auditors; maintain supporting docsReview monthly close and analytical variances; ensure accuracy of recordsAllocate expenses across entities and departments with proper controlsLead annual soft-landing for cash basis financials and assess Qualified earningsReview corporate and partnership tax returns and coordinate with tax advisorEnsure compliance with tax filings and state/local tax strategiesOversee payroll processing for partners and employees; approve related policiesAdvise on insurance strategy and monitor reserves; review self-insurance allocationsMentor staff, oversee performance, and manage hiring/terminationsEnsure alignment of accounting and payroll goals with enterprise strategyPrepare and present tax strategy to CFO; support state-specific tax planningMonitor legal and regulatory changes impacting finance and reporting Key requirements15+ years of related accounting experience5+ years of financial accounting management experience5+ years of HealthCare experienceBachelor’s Degree in Business, accounting, economics or related areaCPA or CMACompleting cash- and accrual-basis financial statements for Partnerships preferredSolid understanding of US tax code preferredBig 4 or mid-level accounting experience preferredMBA preferredKnowledge of US GAAPKnowledge of US tax code related to partnership and corporate taxKnowledge of US auditing standardsKnowledge of Vituity policies and regulatory requirements relating to general compensationAbility to communicate effectively in verbal and written formAbility to stay current with laws and regulationsAbility to deliver presentations to varied audiencesMS Excel, Word, PowerPoint, Outlook proficiencyStrong consultation and advisory skillsKnowledge of workers' compensation, cyber, malpractice, general liability insurancestrong communicationleadership and mentorshipcross-functional collaborationUS GAAPUS tax code (partnership and corporate)financial statement preparation (GAAP and cash basis)