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