About the Role
Madison Medical Sports & Wellness is a fast-growing, multi-specialty ambulatory care platform scaling toward
$25M+ in annual revenue. We are building a modern, tech-forward finance function and are looking for a sharp,
energetic, highly tech-savvy Financial Controller to own day-to-day accounting and grow with the company.
This is a hands-on role for someone who automates the routine, surfaces insights proactively, and manages up not someone who waits to be asked.
Core Responsibilities
- AP controls & vendor management: Manage invoice intake, coding, approval workflows, vendor setup, W-9 collection, payment scheduling, duplicate-payment prevention, and 1099 support. Keep the practice current with every vendor.
- Purchasing & buyer support: Coordinate vendor purchasing, compare pricing where appropriate, track recurring supplies, maintain inventory par levels, help avoid stockouts and over-ordering, and support a more disciplined purchasing process.
- Full-cycle bookkeeping: Maintain the general ledger in QuickBooks Online (QBO), post transactions accurately, and ensure books are consistently up to date.
- Month-end close: Own a clear monthly close checklist — bank and credit card reconciliations, accruals, prepaids, payroll entries, balance sheet support — and deliver clean financial statements on time each period.
- Financial statements & reporting: Prepare and reconcile the three core statements (P&L, balance sheet, and cash flow). Deliver clean monthly reports and manage-up dashboards without being asked; flag spend anomalies, cost-savings opportunities, and variances before they become problems.
- Cash visibility: Maintain daily awareness of cash balances, deposits, EFT/ACH activity, merchant deposits, upcoming payments, and short-term cash needs.
- Healthcare revenue reconciliation: Reconcile patient payments, insurance and EFT deposits, merchant-processor activity, and practice-management / EMR reports to QBO across all service lines.
- Payroll support: Cover payroll processing as needed (interim / backup).
- Internal controls & documentation: Maintain clean records, audit trails, and controls around vendor payments, purchasing, reconciliations, and reporting.
- Vendor & expense discipline: Plan recurring spend (e.g., team lunches, supplies) on a rolling 3-month basis so nothing is reactive or last-minute.
Where This Role Is Headed
As we scale toward a $25M+ company, the right person will help move us from cash-basis toward accrual
accounting. A working understanding of cash-to-accrual conversion from an accountant's perspective is important for growth into this role.
What We're Looking For
- Solid accounting background — you already know how to do this work and can be fully live within about a month with minimal hand-holding.
- Strong QuickBooks Online (QBO) experience is essential.
- Very strong technology fluency — comfortable with modern accounting platforms, automation, and AI tools, and eager to use them to work faster and better. This is a hard requirement.
- Forward-thinking and proactive: you take initiative, bring ideas, and manage up rather than waiting for direction.
- Comfortable reconciling the three financial statements and explaining the numbers.
- Working understanding of cash-to-accrual concepts.
- Purchasing mindset and inventory reconciliation experience a plus.
- Organized and self-directed — you run a clear daily/weekly routine of checks and balances without being prompted.
- A relevant degree (e.g., accounting/finance) and current training in today’s tools is welcome; recent graduates with strong QBO and AI/automation skills are encouraged to apply.
Who Will Thrive Here
You’re someone who would rather build a clean, automated report once than answer the same question fifty
times. You spot the $700 line item before anyone has to ask about it. You’re collaborative and easy to work with
across the team, you take ownership, and you want to grow with a company that is scaling fast.
Details
- Schedule: Full-time, on-site at our Madison, NJ facility.
- Process: Initial vetting, interview (including scenario-based questions on real situations), and verification of certifications and platform/AI experience. Strong candidates may begin with a 2–3 month trial period to confirm fit.
- Compensation: Competitive and commensurate with experience and skill set.
To apply: Submit your resume and a brief note on the accounting platforms and AI tools you use.
Key Responsibilities
- Oversee all accounting transactions and maintain accurate financial records across locations.
- Manage AR/AP, general ledger, reconciliations, and month-end close.
- Prepare financial statements, budget-to-actual reports, and variance analyses.
- Provide strategic financial insights rooted in healthcare metrics and operational performance.
- Maintain compliance with GAAP, healthcare regulations, and internal controls.
- Collaborate with RCM team to optimize revenue streams and ensure financial integrity.
- Support external audits and maintain robust documentation.
- Contribute to strategic planning, forecasting, and long-term financial modeling.
Qualifications
- Bachelor’s degree in Accounting, Finance, or a related field; CPA/CMA preferred.
- Proven accounting experience, ideally within healthcare.
- Strong understanding of financial statements, accounting principles, and healthcare financial operations.
- High integrity, confidentiality, and attention to detail.
- Expert-level skills in QuickBooks Enterprise, MS Office, and Excel.
- Strong organizational skills and ability to handle multiple priorities.
Why Join Us?
- Advance your career in healthcare finance with exposure to revenue cycle, clinical operations, and multi-site leadership.
- Make a meaningful impact by supporting the financial health of medical centers that serve the community.
- Work with a collaborative, forward-thinking leadership team that values innovation and professional growth.
- Competitive compensation, benefits, and advancement opportunities.
- High-impact role with influence over financial processes, systems, and organizational growth.
Job Type: Full-time
Pay: $60,000.00 - $75,000.00 per year
Benefits:
- 401(k) matching
- Dental insurance
- Life insurance
- Vision insurance
Experience:
- Accounting: 5 years (Required)
- Microsoft Office: 4 years (Required)
- QuickBooks: 6 years (Required)
- healthcare accounting and management : 5 years (Required)
Work Location: In person
