Healthcare Controller
Posted: 04/22/2026
Employment Type:
Direct Hire
Industry: Accounting
Job Number: 19833
Pay Rate: 140,000
Job Description
Controller
A privately held, physician-owned healthcare organization in San Antonio, TX is seeking a hands-on Controller to oversee core financial operations, compliance, human resources, and strategic support functions. This role operates as the senior-most finance professional while partnering closely with operations leadership in a highly collaborative environment. This is a broad, roll-up-your-sleeves position suited for someone who enjoys ownership, autonomy, and working across multiple business functions in a stable, established organization. The position does offer some schedule flexibility, is an in office position, and a direct hire.
Company Profile:
Healthcare
Controller Role:
·Oversee full-cycle accounting operations including general ledger, month-end close, and financial reporting
·Prepare quarterly financial packages and support ownership-level reporting and decision-making
·Build and maintain financial models and forecasts, including scenario analysis tied to business initiatives
·Manage cash flow, distributions, and financial planning in alignment with ownership structure
·Review and approve payroll processing, ensuring accuracy in tax treatment, bonuses, and special scenarios
·Provide oversight of HR-related financial compliance, benefits administration, and regulatory requirements
·Maintain and strengthen internal controls, policies, and financial procedures
·Review contracts and agreements, identifying risk and coordinating with external advisors when needed
·Partner with operations leadership to evaluate new initiatives, revenue opportunities, and cost considerations
·Oversee insurance programs, vendor relationships, and external service providers (legal, tax, benefits)
·Reconcile data across systems to ensure accuracy between operational reporting and financial results
·Support ownership with ad hoc financial analysis, modeling, and strategic input
·Operating Environment
·Lean team structure with limited direct reports
·Highly collaborative partnership with operations leadership
·Stable, profitable organization with consistent performance
·Mix of structured responsibilities and ad hoc financial support
·Opportunity to identify efficiencies and improve processes over time
Controller Background Profile:
·8+ years of progressive accounting and finance experience
·Experience in small to mid-sized organizations where individuals wear multiple hats
·Strong foundation in financial reporting, general ledger, and full-cycle accounting
·Demonstrated ability to build and maintain complex financial models in Excel
·Experience managing or overseeing payroll, compliance, and financial controls
·Exposure to contracts, vendor agreements, or legal/insurance coordination
·Bachelor’s degree in Accounting, Finance, or related field
Preferred Experience
·CPA or CPA-track (not required)
·Experience in healthcare or similarly regulated industries (helpful but not required)
·Experience supporting ownership groups, boards, or closely held businesses
·Familiarity with systems such as QuickBooks Desktop or similar platforms
Profile Fit
·Hands-on, detail-oriented, and comfortable operating independently
·Strong analytical and problem-solving skills
·Ability to balance execution with strategic thinking
·Comfortable working in a collaborative, non-hierarchical environment
·High emotional intelligence with the ability to build trust across stakeholders
·Resourceful and able to leverage external experts when needed
Features and Benefits:
Base, Bonus, and Merit increase.
Health Insurance
401k Profit Sharing
Annual professional business expense budget
A privately held, physician-owned healthcare organization in San Antonio, TX is seeking a hands-on Controller to oversee core financial operations, compliance, human resources, and strategic support functions. This role operates as the senior-most finance professional while partnering closely with operations leadership in a highly collaborative environment. This is a broad, roll-up-your-sleeves position suited for someone who enjoys ownership, autonomy, and working across multiple business functions in a stable, established organization. The position does offer some schedule flexibility, is an in office position, and a direct hire.
Company Profile:
Healthcare
Controller Role:
·Oversee full-cycle accounting operations including general ledger, month-end close, and financial reporting
·Prepare quarterly financial packages and support ownership-level reporting and decision-making
·Build and maintain financial models and forecasts, including scenario analysis tied to business initiatives
·Manage cash flow, distributions, and financial planning in alignment with ownership structure
·Review and approve payroll processing, ensuring accuracy in tax treatment, bonuses, and special scenarios
·Provide oversight of HR-related financial compliance, benefits administration, and regulatory requirements
·Maintain and strengthen internal controls, policies, and financial procedures
·Review contracts and agreements, identifying risk and coordinating with external advisors when needed
·Partner with operations leadership to evaluate new initiatives, revenue opportunities, and cost considerations
·Oversee insurance programs, vendor relationships, and external service providers (legal, tax, benefits)
·Reconcile data across systems to ensure accuracy between operational reporting and financial results
·Support ownership with ad hoc financial analysis, modeling, and strategic input
·Operating Environment
·Lean team structure with limited direct reports
·Highly collaborative partnership with operations leadership
·Stable, profitable organization with consistent performance
·Mix of structured responsibilities and ad hoc financial support
·Opportunity to identify efficiencies and improve processes over time
Controller Background Profile:
·8+ years of progressive accounting and finance experience
·Experience in small to mid-sized organizations where individuals wear multiple hats
·Strong foundation in financial reporting, general ledger, and full-cycle accounting
·Demonstrated ability to build and maintain complex financial models in Excel
·Experience managing or overseeing payroll, compliance, and financial controls
·Exposure to contracts, vendor agreements, or legal/insurance coordination
·Bachelor’s degree in Accounting, Finance, or related field
Preferred Experience
·CPA or CPA-track (not required)
·Experience in healthcare or similarly regulated industries (helpful but not required)
·Experience supporting ownership groups, boards, or closely held businesses
·Familiarity with systems such as QuickBooks Desktop or similar platforms
Profile Fit
·Hands-on, detail-oriented, and comfortable operating independently
·Strong analytical and problem-solving skills
·Ability to balance execution with strategic thinking
·Comfortable working in a collaborative, non-hierarchical environment
·High emotional intelligence with the ability to build trust across stakeholders
·Resourceful and able to leverage external experts when needed
Features and Benefits:
Base, Bonus, and Merit increase.
Health Insurance
401k Profit Sharing
Annual professional business expense budget
Job Requirements
Experience in small to mid-sized organizations where individuals wear multiple hats
Strong foundation in financial reporting, general ledger, and full-cycle accounting
Demonstrated ability to build and maintain complex financial models in Excel
Experience managing or overseeing payroll, compliance, and financial controls
Additional Information
Frontline Source Group is an Equal Opportunity Employer. Candidates must be authorized to work in the United States without sponsorship. The client cannot sponsor any visas.
Disclaimer: Sensitive and personal data will not be requested by Frontline Source Group or its affiliates until a job offer is made and accepted. If you ever doubt the validity of our job postings, we encourage you to call one of our branch locations to verify the status on any job.
Meet Your Recruiter
Cassidy Jacobs
Cassidy Jacobs holds a Bachelors degree focused in International Development from University of North Texas. She is a strategic and results-driven Business Development professional with expertise in the Talent Acquisition industry.
Cassidy is focused on building lasting relationships with clients by supporting them in their need to find top talent in a tight market.
Her five plus years as a Member of DallasHR, two of which were served on the Board of Directors, has provided Cassidy with the education and knowledge to have a better understanding of what clients face daily and the challenges of corporate HR Teams today.
Connect with her today to start your search to hire top professionals for your company
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