Controller

Axia Women's Health is the nation’s largest community-based, integrated women's health network in the country serving women throughout New Jersey, Pennsylvania, Indiana, and Kentucky. At its core, Axia Women’s Health is a community of over 400 providers across nearly 150 locations committed to providing a more caring, connected, and progressive health care experience for women.  Its rapidly growing network spans OB/GYN care, breast health, high-risk pregnancy care, urogynecology care, behavioral health, and fertility. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives. Axia Women’s Health has been recognized as the #1 Physician Practice for Women’s Health by Castle Connolly and certified as a Great Place to Work for five consecutive years. Learn more at www.axiawh.com.

The Controller is a senior leader in the Finance organization responsible for owning the integrity of our financial reporting, leading the accounting and treasury functions, and ensuring scalable infrastructure to support our rapidly growing, private equity-backed healthcare organization. This role partners closely with the CFO, VP of FP&A, and operational leadership to drive financial rigor, accurate reporting, and strategic insight across the company. 

The Controller is responsible for leading the organization's accounting function, ensuring accurate financial reporting, maintaining strong internal controls, and overseeing the month-end close process. This role serves as the senior accounting leader and key business partner across the organization, collaborating closely with operational leadership, physician groups, Revenue Cycle Management (RCM), and the CFO. The ideal candidate brings deep technical accounting expertise, healthcare industry experience, and a proven ability to lead teams in a complex, multi-site environment. 

Essential Functions:

• Accounting Operations & Financial Close
  • Oversee all accounting operations, including: General Ledger, Accounts Payable, Recording of Accounts Receivable, Fixed Assets, Cash Management, Payroll
  • Lead all accounting operations, including balance sheet account reconciliations, and month-end close.
  • Own the monthly and quarterly close process, including: Journal entries, account reconciliations, and financial statement preparation in accordance with US GAAP
  • Ensure timely and accurate preparation of annual financial statements.
  • Own consolidation of all corporations and legal entities, including intercompany eliminations and management fee accounting under Management Services Agreements (MSAs).
• Financial Reporting & Executive Communication
  • Prepare and present financial results, key metrics, and variance analyses to executive leadership and the Board of Directors.
  • Partner with Finance and FP&A teams to support forecasting, budgeting, and strategic financial planning.
  • Serve as a key advisor to leadership on financial performance and accounting implications of business decisions.
• Revenue Recognition & Healthcare Accounting
  • Oversee revenue recognition processes and related controls.
  • Partner closely with Revenue Cycle Management teams to validate revenue reporting and financial results.
  • Ensure accurate accounting for healthcare-related transactions and revenue streams.
  • Support accounting activities related to MSO and physician practice operations.
  • Collaborate cross-functionally with Revenue Cycle, HR, Operations, and FP&A to ensure consistency and accuracy in financial practices.
• Audit, Compliance & Internal Controls
  • Manage the annual external audit process and relationships with auditors and external advisors.
  • Serve as the primary contact for external auditors.
  • Coordinate annual audits and support other financial compliance initiatives.
  • Enhance, maintain, and strengthen internal control systems and accounting controls.
  • Ensure compliance with US GAAP and applicable accounting regulations and standards.
  • Prepare the organization for potential audits, acquisitions, financing events, or IPO readiness activities.
• Process Improvement & Systems
  • Drive continuous improvement in accounting processes, controls, systems, and reporting.
  • Lead automation initiatives, system integrations, and dashboard development to improve efficiency and visibility.
  • Identify and implement best practices to enhance scalability, accuracy, and operational effectiveness.
• Corporate Governance & Entity Management
  • Own business filings and registrations across all entities, including: Annual reports, franchise tax filings, foreign qualifications, business licenses and state and local registrations
  • Maintain a comprehensive compliance calendar to ensure all entities remain in good standing.
  • Coordinate with Legal and registered agents to maintain accurate corporate records, manage registered addresses, update officer and manager information and ensure timely response to state notices and service of process
• Treasury, Vendor & External Relationship Management
  • Serve as the primary financial point of contact for external financial partners and service providers, including: banking and treasury partners, external auditors, tax advisors, payroll processors, ERP and software vendors, lenders, and lockbox and merchant-services providers
  • Manage vendor relationships, engagement letters, contracts, and service agreements.
• Leadership, Team Development & Business Partnership
  • Lead, mentor, and develop accounting managers and team members.
  • Partner with operational leaders and physician groups as the voice of Accounting.
  • Collaborate closely with the CFO and Finance leadership team to support organizational initiatives and strategic decision-making.
  • Provide accounting guidance and support for new business initiatives, acquisitions and integrations, operational changes, and growth and transformation efforts

Supervisory Responsibilities

• 4 Midlevel Managers (including payroll / AP)
• Lead, mentor, and develop a high-performing accounting team, including Accounting Managers,
  AP/AR, and senior accountants.

Skills:

• Strong knowledge of US GAAP, financial reporting, internal controls, and accounting operations.

• Proven experience leading month-end close, annual audits, and multi-entity consolidations.

• Demonstrated ability to lead change, improve processes, and scale accounting infrastructure to support growth.

• Excellent communication, analytical, problem-solving, and leadership skills.

• Experience partnering with executive leadership to provide financial insights and support strategic decision-making.

• Proficiency with ERP systems, financial reporting tools, process automation, and dashboard development.

• Working knowledge of multi-state entity management, business filings and registrations, and coordination with registered agents and financial vendors.

• Proven ability to build, develop, and lead high-performing accounting teams in a fast-paced environment.

Experience and Education

• Required
  • Bachelor's degree in Accounting, Finance, or a related field.
  • 8-12+ years of progressive accounting experience, including leadership of accounting teams. 
  • Prior experience as an Assistant Controller, Controller, or similar accounting leadership role. 
  • Healthcare, physician practice, MSO, or other multi-site healthcare experience

  • Experience in a high-growth and/or private equity-backed environment.

  • Deep understanding of U.S. GAAP, technical accounting, and financial reporting requirements.

  • Experience leading month-end close, financial reporting, and external audits.

  • Strong leadership, team development, and cross-functional business partnership skills.

  • Experience with ERP systems and financial reporting tools (e.g., Great Plains, NetSuite, Tableau, Power BI)

         
• Preferred
  
  • CPA designation strongly preferred.

  • Revenue recognition and revenue cycle management experience.

  • Combination of public accounting and private industry experience.

  • Big 4 public accounting experience.

  • Experience supporting acquisitions, integrations, or rapidly growing organizations.

The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Full Time Benefits Summary

• Full time benefit-eligibility beginning the first of the month after hire
• 401(k) with company match
• Generous PTO offering with additional time off for volunteering
• Choice of multiple medical insurance plans to best meet your needs
• Access to Axia providers at little to no cost through Axia’s medical insurance
• Axia-paid life insurance, short term and long term disability
• Free counseling for colleagues and family members, including parents and parents-in-law
• Access to discount on Hotels, Theme Parks, Gym Memberships, and more through the Great Works Perks Program
• Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA w/ employer contribution, identity theft, long term care, pet insurance and more!

At Axia Women’s Health, we’re passionate about creating a community where our colleagues and patients feel empowered to be their full, authentic selves.  We welcome all individuals – without regards to gender, race, ethnicity, ability, or sexual orientation – and proudly celebrate our individual experiences and differences.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.  Applicants must be currently authorized to work in the United States on a full-time basis.