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About the Role
As our Controller, you will own Greenbrook Medical’s end-to-end accounting function and build the financial foundation that enables the company to scale. This role is accountable for the integrity of financial reporting and owns the systems, processes, and controls that support accounting operations, financial compliance, and continued growth. You will lead core accounting operations, including the close and financial reporting processes, while strengthening the financial infrastructure needed to support a fast-growing, multi-clinic healthcare organization. You will partner across the organization to bring order to complexity, improve operations, and ensure leaders have accurate and reliable financial information for decision-making. This role is ideal for a hands-on builder who can dive into details, create scalable processes, and elevate a finance function.
Responsibilities
- Own Greenbrook’s end-to-end accounting function, ensuring financial records are accurate, timely, and reliable.
- Own the full monthly, quarterly, and annual close process, including journal entries, accruals, reconciliations, consolidations, and financial statement preparation.
- Own the general ledger, balance sheet, and financial reporting across all entities.
- Establish and maintain accounting policies and procedures in accordance with GAAP.
- Own revenue accounting and reconciliation across payer arrangements, including capitation and value-based contracts, as well as accounting for medical claims liabilities, settlements, and other risk-related balances.
- Manage external accounting and bookkeeping partners while maintaining internal ownership and accountability.
- Design and maintain scalable accounting processes, internal controls, approval workflows, and financial policies.
- Own core accounting operations, including accounts payable, procure-to-pay, cash accounting, bank reconciliations, payroll accounting, corporate cards, expense management, and related balance sheet processes.
- Partner with the VP of Finance to establish spend approval policies.
- Own and continuously improve accounting systems and financial technology stack, identifying automation opportunities.
- Assess accounting resource needs and build the appropriate combination of internal talent, external partners, systems, and processes.
- Own federal, state, and local tax compliance, reporting, filings, and payments.
- Own finance-related legal entity compliance, registrations, annual reports, 1099 reporting, and other recurring federal and state requirements.
- Maintain a comprehensive compliance calendar.
- Own annual audit and external financial reporting processes and maintain year-round audit readiness.
- Serve as the primary Finance point of contact for auditors, tax advisors, payroll providers, and other external accounting partners.
- Own and improve financial processes related to risk contracts, including payer settlements, contestations, cost reallocations, stop-loss activity, and reserve fund reconciliations.
- Partner with Revenue Operations, Population Health, and clinical teams to ensure payer and financial data are complete, accurate, and appropriately reflected in financial statements.
- Partner with the VP of Finance on budgeting, forecasting, budget-to-actual reporting, variance analysis, and financial planning.
- Provide financial and accounting insights to help leaders understand performance, manage spending, and improve financial accountability.
- Support the financial evaluation of new clinics, markets, payer arrangements, health system partnerships, and other growth initiatives.
Requirements
- 8-12 years of accounting and financial operations experience across corporate or multi-entity environments.
- 3-5 years owning core accounting functions including close, financial reporting, audits, reconciliations, tax compliance, and financial controls.
- Experience managing outsourced finance partners such as bookkeeping, payroll, tax, benefits provider, or other accounting providers, while maintaining internal accountability for their work.
- Strong technical accounting skills with a track record of improving accuracy, efficiency, and operational rigor.
- Experience building and improving processes, systems, and controls in environments where things are evolving quickly.
- Experience with accounting systems and financial technology, including implementing, upgrading, or optimizing ERP and related finance tools.
- Strong attention to detail with the ability to balance precision with speed.
- Clear communication skills and the ability to partner effectively across the organization with both financial and non-financial stakeholders.
- CPA or equivalent public accounting and/or technical accounting experience is a plus.
- Experience in healthcare, value-based care, managed care, or MSO-PC environments is a plus.
- Experience in a startup or high-growth company where you built the accounting and finance infrastructure from the ground up is a plus.
- Experience managing multi-entity accounting complexity is a plus.
- Experience supporting risk-bearing contracts, capitation models, or healthcare financial operations is a plus.
- Enjoy operating as a hands-on builder who can both solve today's problems and design tomorrow's systems.
Skills
- Accounting
- Financial Reporting
- GAAP
- Revenue Accounting
- Risk Contracts
- Budgeting
- Forecasting
- Variance Analysis
- Financial Planning
- Tax Compliance
- Audit
- Internal Controls
- ERP Systems
- Financial Technology
Location
- New York City (Hybrid)
- Chicago (Hybrid)
- Remote
Work Type
- Hybrid
- Remote
Experience Level
- 8-12 years of accounting and financial operations experience
- 3-5 years owning core accounting functions
Education Level
- CPA or equivalent public accounting and/or technical accounting experience
Salary/Compensations
- $175,000-$205,000 base salary
- Generous annual performance bonus
Benefits
- Health, dental, and vision insurance
- Paid time off
- 401(k) with company match
About the Company
- Greenbrook Medical is building the new standard in primary care, delivering high-touch, relationship-based care through neighborhood clinics.
- The model prioritizes time with patients, strong care coordination, and a personalized approach that improves outcomes while lowering total cost of care.
- The company takes full accountability for patient outcomes and overall cost of care, aligning clinical excellence with disciplined execution.
- Rooted in Tampa Bay and partnered with Tampa General Hospital, Greenbrook Medical is entering an exciting phase of growth.
- The company is looking for builders and operators who want to help scale a healthcare platform designed to deliver better care, better coordination, and better outcomes for seniors.
Equal Opportunity
- Greenbrook Medical believes the only way we accomplish our mission is by building the best team in healthcare through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost.
- We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws.
- We encourage all who share our mission to apply.
- Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at recruiting@greenbrookmedical.com.