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Vanguard Skin Specialists · 2 weeks ago

Controller/VP Finance

Colorado Springs, CO

Full-time

Onsite

Director/Executive

$130K/yr - $150K/yr

6+ years exp

Vanguard Skin Specialists is a growing, physician-led medical group focused on delivering outstanding care while building a sustainable platform for multi-specialty services. They are seeking a results-driven Controller/VP Finance to take full ownership of their finance and accounting function, leading financial operations across multiple business lines and shaping the financial roadmap for sustainable growth.

Cosmetic SurgeryHealth CareMedicalProfessional Services

Growth Opportunities

Responsibilities

Lead budgeting, forecasting, and financial modeling across all business entities

Build and maintain dashboards, KPIs, and executive reports to drive decision-making and to monitor the financial health of the organization and each of the businesses

Partner with CEO and COO on margin improvement, capital planning, and capital allocation strategy

Lead cost structure analysis across the enterprise with the goal of identifying margin improvement through cost controls, revenue strategy, or operational efficiency

Partner with CEO and COO for scenario models and ROI analyses for new investments, partnerships, and service lines

Implement rolling 12-month cash flow forecast

Develop a high-integrity, efficient accounting foundation to support multi-entity operations and future audit-readiness

Own the month-end close, general ledger oversight, and internal controls

Generate accurate and timely financial reports including the following: Balance Sheet, P&L, Statement of Cash Flows across all business entities

Work collaboratively with managers to develop budgets and forecasts for business units and to actively manage the practice to meet or exceed budget goals

Report significant variation in financial results from prior periods and/or budget and provide commentary and analysis of financials. Identify causes of variances in financial results and recommend corrective actions

Ensure compliance, tax readiness, and audit preparedness

Oversee policies for expense tracking, revenue recognition, and entity-level allocations

Lead reporting of key operational metrics including provider dashboard, impact scoreboard, and organizational KPIs

Ensure scalable systems and processes that protect cash flow and reduce administrative overhead, especially as volume grows

Establish and monitor appropriate internal control policies and procedures

Ensure that the general ledger is supported by appropriate subsidiary ledgers and that all critical accounts are reconciled to subsidiary ledgers and third-party sources on a regular basis

Establish appropriate segregations of duties and where such segregation is not practicable, implement compensating controls

Oversee the A/R and A/P processes, ensuring optimal cash flow

Oversee the payroll process to ensure payrolls are complete and accurate and that all related taxes and benefits are accounted for properly and that all required reporting is completed on a timely basis. Oversee related benefits of 401K, profit share program, and PTO

Oversee all banking relationships and maintain treasury policies

Oversee financial operations and reporting for a real estate portfolio

Serve as financial lead for our ambulatory surgery center (ASC) development project, including pro forma modeling and budget oversight. Partner with legal, clinical, and construction teams to track ASC financial milestones

Oversee cost segregation process for real estate properties

Manage property tax assessments for owned real estate, including initiating valuation appeals when necessary to reduce tax burden

Ensure all real estate assets are appropriately insured, including regular coverage reviews and coordination with insurance brokers

Calculate, analyze, and administer provider compensation and year-end bonuses with precision, timeliness, and alignment to organizational policies and performance goals

Maintain and enhance transparent dashboards and reporting tools to communicate provider productivity, expense allocations, and compensation metrics

Engage providers and leadership in data-driven discussions on provider collections and compensation

Build systems, processes, and reporting to support a growing MSO and diversified portfolio

Participate in key strategic conversations at the executive level; evaluate and articulate the financial ramifications of all strategies considered

Design, develop, and manage a lean, high-impact finance team; define when and how roles are added

Role model Vanguard’s values of humility, excellence, and integrity, and help further the mission to make a positive impact on patients, community, and the world

Qualification

CPAGAAPFinancial AnalysisBudgetingFinancial ReportingExcelInternal ControlsSQLQuickbooksTeam LeadershipCommunicationAttention to DetailTime ManagementCollaboration