Controller - Healthcare Operations

Lakewood, NJ | Onsite
$130 - 160K (DOE

Position Overview

A fast-growing, multi-state ABA company is seeking a hands-on Controller / Head of Finance Operations to bring all bookkeeping and accounting functions fully in-house and stabilize day-to-day financial operations. This is a highly operational role for someone who thrives in the details, takes ownership, and can build structure where it doesn’t yet exist.

This role is critical to creating financial clarity and discipline during a growth phase. For at least the first 6 months, this individual will personally execute bookkeeping and core accounting work while establishing scalable systems and controls.

The Ideal Candidate

• Roll-up-your-sleeves finance professional

• Comfortable owning bookkeeping and accounting end-to-end

• Highly organized, accountable, and execution-focused

• Calm in fast-moving, evolving environments

• Process-builder who enjoys bringing order and structure

• Confident working directly with ownership

Key Responsibilities

Hands-On Financial Operations

• Personally bring bookkeeping and accounting in-house from outsourced providers

• Manage day-to-day accounting, reconciliations, and month-end close

• Ensure accuracy, continuity, and clean financial records

• Establish internal controls, workflows, and documentation

• Oversee AP, AR, payroll coordination, and general ledger integrity

Operational Finance & Reporting

• Prepare monthly financial statements and variance analyses

• Support budgeting and forecasting processes

• Track cost per client, clinic-level profitability, and margins

• Partner with leadership on operational financial questions

• Hold vendors and processes accountable

Foundation Building

• Create repeatable systems to support scale

• Assist in building and training future finance team members

• Serve as the operational finance backbone of the organization

Qualifications & Must-Haves (Non-Negotiable)

• Willingness to personally handle bookkeeping during the first 6 months

• Strong hands-on accounting background

• Experience bringing structure to growing organizations

• High attention to detail with strong follow-through

• Comfortable working onsite and closely with leadership

Nice to Have

• Healthcare, ABA, or multi-location services experience

• Experience working with outsourced accountants/bookkeepers

• Interest in growing into broader finance leadership

Email resume to: nechi@maiplacement.com