Controller

ABOUT CENTRAL DERMATOLOGY CENTERCentral Dermatology Center is a 175-employee, multi-site dermatology practice serving patients across North Carolina. We combine the patient-first culture of an independent practice with the operating discipline of a sophisticated platform.THE OPPORTUNITYWe are hiring a Controller to own our accounting, financial reporting, financial modeling, internal controls, and audit-readiness. This is a deliberately re-architected seat: payroll execution is outsourced, financial modeling is added, and the bar on technical fundamentals is high.The right candidate is a CPA-grade accountant — 3 to 8 years of progressive experience — who has built their chops in a multi-site healthcare services platform or a Big 4 audit practice with healthcare-services depth.This is a build seat. You will work directly with our CFO and COO to elevate our financial function while supporting the next chapter of our growth. The growth path is explicit: Controller now, with a clear runway into Director of Finance or broader finance leadership as the platform scales.WHAT YOU'LL OWN• Month-end close, financial reporting, and the audit-ready close binder.• Financial modeling: 13-week rolling cash flow, EBITDA bridges, working capital schedules, scenario analysis.• Internal controls and audit-readiness. Quarterly controls-testing sweep.• Multi-entity / intercompany accounting and consolidations.• Accounts payable, expense management, and approval workflows on Ramp.• Provider compensation calculations across three concurrent bonus programs.• Recurring management reporting: location-level P&L, A/R aging, line-of-business dashboards.• 401(k) plan audit ownership with our external auditor via Suralink.• Daily clinic cash-close controls and exception management.• Payroll oversight (executed by outsourced bureau): vendor relationship, batch approval, anomaly review, tax-filing sign-off.• Lease and TICAM administration across multiple locations.WHAT YOU'LL BRING• Bachelor's degree in Accounting or Finance.• CPA earned, or actively in progress with a defined exam timeline.• 5–8 years of progressive accounting experience, with at least 2 years at Controller, Assistant Controller, or Senior Accountant accountability.• Direct experience in a multi-site healthcare services platform — MSO, DSO, veterinary, dermatology, ASC, or comparable — or Big 4 audit with healthcare-services clients.• Advanced Excel: financial modeling fluency, Power Query and Power Pivot a strong plus. Will be evaluated in a live work sample.• Hands-on QuickBooks Online or Enterprise with multi-entity / intercompany experience.• Demonstrated track record of building SOPs, designing internal controls, and producing audit-ready work.• Clear written and verbal communication.STRONG PREFERREDS• ERISA 401(k) plan audit workflow exposure (Suralink or comparable PBC platform).• Power BI or Tableau implementation experience.• Experience with Ramp, Bill.com, or a comparable AI-forward AP / spend platform.• Experience leading a system implementation or migration to completion.WHAT WE'RE OFFERING• Base salary: commensurate with experience.• Target annual bonus: tied to budget, close timeliness, audit-readiness metrics, and modeling deliverables.• Comprehensive benefits: medical (Cigna), dental, vision, FSA, HSA, 401(k).• Direct report to CEO• Explicit growth path into broader finance leadership as the platform scales.• Hybrid arrangement based at our Chapel Hill / Raleigh-Durham headquarters. Heavy in-office presence during the first 90 days, transitioning to approximately one week per month in-office in steady state, with additional in-office time around close and audit windows.HOW TO APPLYSubmit your resume plus a brief cover letter (one page or less) addressing two questions:• Describe the most complex financial model you have personally built and what it produced.• Describe an internal control you designed in response to a specific gap or error.Shortlisted candidates will complete a CFO-led technical screen, a behavioral interview with leadership, a 60-minute live Excel work sample, and a final panel incl COO, and an external advisor. Central Dermatology Center is an equal opportunity employer.