At Precise Behavioral, we are building a scalable behavioral healthcare platform focused on delivering exceptional patient outcomes through operational rigor, clinical quality, and disciplined growth. As we continue expanding across markets and entities, we are investing in the financial infrastructure, systems, and leadership necessary to support a high-performance, multi-state healthcare organization.

About the role

We are seeking an exceptional Controller who has operated successfully inside fast-growing, Venture- or PE-backed healthcare delivery businesses and understands what “good” looks like in a scaling provider platform. This is not a maintenance accounting role. We are looking for a highly capable operator who can build processes, improve controls, elevate reporting quality, and help create an institutional-grade finance function.

The ideal candidate combines strong technical accounting expertise with operational intensity, healthcare fluency, and the ability to thrive in a dynamic, high-accountability environment. Experience with behavioral health, physician practice management, MSOs, revenue cycle complexity, and multi-entity operations is highly valued.

Reporting to the CFO, this role will work closely with executive leadership and play a critical role in preparing the business for continued scale.

What you'll do

Lead all aspects of the monthly, quarterly, and annual close process with a focus on speed, accuracy, and scalability
Build and manage a disciplined accounting function across multiple entities and states
You will oversee:
- Accounts Payable & Accounts Receivable
- Payroll, General Ledger and Reconciliations
- Accruals and journal entries
- Financial reporting
Manage accounting within PC/MSO structures, including intercompany accounting and consolidation
Partner closely with operations and revenue cycle teams to improve visibility into collections, claims, reimbursement trends, and cash flow
Help establish KPI-driven reporting and operational accountability across the organization
Oversee relationships with external tax advisors and ensure timely, accurate completion of all federal, state, and local tax filings across multiple entities and jurisdictions
Coordinate and manage the annual financial audit process with external auditors, including preparation of audit support schedules, reconciliations, and required documentation
Support ongoing improvement of financial controls and processes to meet institutional-quality reporting standards

Qualifications

10-15+ years of progressive accounting and finance experience
A bachelor’s degree in Accounting required. CPA and/or MACC is strongly preferred.
Prior Controller or Assistant Controller experience in a fast-growing healthcare delivery business
Los Angeles, CA area required
Deep understanding of:

- Healthcare claims, reimbursement and Revenue Cycle Management
- Medical billing operations
- Multi-entity accounting
- Multi-state operations
Experience operating within Venture- or PE-backed healthcare organizations strongly preferred
Familiarity with PC/MSO structures and provider organization accounting
Strong command of GAAP and healthcare accounting best practices
Experience with QuickBooks Online, Rippling, and modern accounting/ERP systems
Experience managing external audit processes and coordinating with third-party audit firms
Familiarity with multi-state tax compliance and healthcare-related tax considerations
Strong understanding of audit preparedness, internal controls, and financial documentation standards
Experience supporting diligence processes, lender reporting, or investor-related financial requests is a plus

Candidate Profile

Builder mentality with strong operational instincts
Comfortable operating in environments where processes are still evolving.
High accountability and ownership orientation
Strong analytical rigor and attention to detail
Able to identify problems proactively rather than reactively
Comfortable interacting with executive leadership, investors, auditors, and banking partners
Bias toward execution and continuous improvement

The pay range for this role is:
190,000 - 200,000 USD per year(Los Angeles, CA)

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Precise Behavioral Inc

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