Controller / Head of Accounting

Brooklyn, NY (Onsite)

$160,000 – $180,000

Position Overview
A growing home care agency is seeking a strong, hands-on Controller to lead and scale a high-performing finance team. This role is ideal for a Controller who knows how to build structure, drive accountability, and run a well-oiled operation while supporting a multi-entity, multi-state organization.

The Ideal Candidate

• Proven experience leading and developing accounting/finance teams with strong accountability

• Confident decision-maker who can hire, coach, and make tough calls when needed

• Strong operational mindset with the ability to build processes and improve systems

• Advanced Excel skills; strong understanding of GL systems (Intacct a plus)

• Experience with Viventium payroll and/or HHAexchange is a plus

• Healthcare experience preferred, home care strongly preferred

Key Responsibilities

• Oversee all accounting functions including GL, AP, cash management, and financial reporting

• Lead month-end, quarter-end, and year-end close processes across multiple entities

• Prepare consolidated financials across NY and out-of-state operations

• Manage audits, cost reports, and regulatory filings (LHCSA)

• Ensure compliance with GAAP, wage parity, overtime, and labor regulations

• Build, manage, and develop a high-performing accounting team with clear expectations

• Partner with Operations and HR to drive financial and operational alignment

• Oversee cash flow, banking relationships, and multi-account forecasting

• Analyze profitability by payer, service line, and geography; monitor KPIs and margins

• Support pricing, reimbursement analysis, and payer contract strategy

• Lead budgeting, forecasting, and financial modeling for growth initiatives

• Support multi-state expansion, new entity setup, and integrations

• Establish internal controls, policies, and scalable financial systems

• Oversee ERP, payroll, and billing system improvements/implementations

• Manage insurance (GL/PL, Workers’ Compensation)

Qualifications & Must-Haves

• 3+ years of progressive accounting/finance experience, with leadership responsibility

• Proven ability to manage and scale teams in a fast-paced environment

• Strong knowledge of financial reporting, audits, and multi-entity structures

• Healthcare experience preferred, home care (LHCSA/CDPAP) strongly preferred

• Expertise in Excel and financial systems; Intacct preferred

Apply Now: nechi@maiplacement.com