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TailorCare · 18 hours ago

Controller

Nashville, TN

Full-time

Hybrid

Senior Level, Lead/Staff

10+ years exp

TailorCare is transforming the experience of specialty care, focusing on improving patient outcomes for joint, back, and muscle conditions. They are seeking a highly experienced and strategic Controller to lead their accounting function, ensuring financial integrity and providing precise data for strategic decision-making.

Health CareMedical

Responsibilities

Own the entire monthly, quarterly, and annual financial close process, ensuring timely and accurate preparation of GAAP-compliant financial statements (P&L, Balance Sheet, Cash Flow)

Serve as the in-house expert on technical accounting matters, particularly revenue recognition (ASC 606) for shared savings/risk contracts, and performance-based incentive payments typical in the value-based healthcare space

Oversee the development and maintenance of robust cost accounting methodologies, ensuring accurate calculation of Per Member Per Month (PMPM) costs, Contribution Margins, and other critical unit economics metrics used for market performance analysis

Manage all aspects of the annual external financial audit, statutory audits, and tax compliance (including working with external tax partners). Ensure proper internal controls (SOX-like compliance) are designed, documented, and operating effectively

Drive continuous improvement in financial processes and systems, including optimizing the General Ledger (GL) structure

Own the integrity of the Balance Sheet, including managing cash flow, overseeing fixed assets (including software capitalization under ASC 350-40), and ensuring accurate accruals and reserves

Build a small and effective corporate accounting team, setting priorities, fostering professional development, and ensuring alignment with the company's financial goals

Qualification

Bachelor's degree in AccountingCPA certification10+ years accounting experienceHealthcare Accounting ExpertiseTechnical Accounting expertiseERP systems knowledgeAdvanced data analysis toolsAudit Management experienceInternal controls designTeam Leadership

Required

Education: Bachelor's degree in Accounting

Certification: CPA (Certified Public Accountant) required (inactive okay)

Experience: 10+ years of progressive accounting experience, including at least 3 years in a Controller or Assistant Controller role, ideally within a high-growth company

Healthcare Accounting Expertise: Deep, hands-on experience in accounting for value-based care (VBC) arrangements, including capitation, shared savings/risk models, and accounting for IBNR (Incurred But Not Reported) or similar liabilities/reserves related to delegated financial risk

Technical Accounting: Expertise in applying and documenting complex technical accounting standards (US GAAP), including revenue recognition (ASC 606) for subscription or services-based business models

System Fluency: Strong working knowledge of major ERP systems (e.g., Sage Intaact) and proficiency with advanced data analysis tools (Excel, data cubes/BI tools)

Audit Management: Proven experience managing annual external audits with Big Four or regional accounting firms