Interim Controller

LBMC Staffing Solutions ‚Ä¢ Brentwood, Tennessee ‚Ä¢ Full Time

Posted on Sat, Aug 22, 2026

A private equity-backed healthcare organization has an immediate need for an experienced Interim Controller to lead day-to-day accounting operations and strengthen financial reporting across a complex, multi-entity organization. Based in the Franklin, Tennessee area, this is a primarily in-office, highly visible role reporting directly to the CFO. The position requires a hands-on accounting leader who can quickly take ownership of the close and reporting processes while effectively leading an established accounting team.
The Controller will own the monthly, quarterly, and annual close, ensure timely GAAP-compliant financial reporting, and oversee healthcare revenue recognition in a complex multi-payer reimbursement environment. The role will also have significant responsibility for cash flow analysis, budgeting, lender covenant compliance, audit management, internal controls, technical accounting, and acquisition integration. Microsoft Dynamics 365 Business Central is the company's ERP, and the Controller will serve as the primary accounting system owner.
Key Responsibilities

Own the monthly, quarterly, and annual close across a multi-entity organization
Ensure accurate accrual-basis, GAAP-compliant financial statements and compliance with lender covenants
Oversee healthcare revenue recognition, including contractual allowances, bad debt reserves, payer mix adjustments, and reimbursement timing
Serve as the accounting owner for Microsoft Dynamics 365 Business Central, including chart of accounts, workflows, and reporting
Review balance sheet reconciliations, journal entries, and supporting schedules and maintain an audit-ready general ledger
Develop weekly cash flow analyses and support cash strategy discussions with the CFO and ownership/investor groups
Lead the annual budgeting process in partnership with operational leadership
Lead the annual financial statement audit and coordinate lender, insurance, regulatory, and other external audits
Develop and strengthen internal controls, accounting policies, and reporting processes
Support acquisition accounting and integration, including opening balance sheets, purchase accounting, valuation coordination, and implementation of company controls
Oversee technical accounting matters including fixed assets, lease accounting under ASC 842, revenue recognition under ASC 606, consolidations, and business combinations
Prepare management reporting and ad hoc financial analysis for the CFO and executive leadership
Lead, mentor, and develop the accounting team
Partner closely with billing, revenue cycle, operations, and executive leadership

Ideal Background

Healthcare accounting experience required
EMS, ambulance services, or similar healthcare reimbursement experience strongly preferred
Bachelor's degree in Accounting or Finance required
CPA strongly preferred
5+ years of progressive accounting experience with supervisory or management responsibility
Public accounting or audit experience, particularly Big Four or a national firm, strongly preferred
Strong technical knowledge of U.S. GAAP and accrual accounting
Experience with multi-entity organizations and consolidated financial reporting
Experience with healthcare revenue recognition and third-party reimbursement accounting
Experience supporting acquisitions, opening balance sheets, or acquisition integrations preferred
Hands-on Microsoft Dynamics 365 Business Central experience strongly preferred; comparable mid-market ERP experience considered
Strong Excel skills; Power BI or other reporting/analytics tools are a plus
Experience leading external audits and working with lenders or other outside stakeholders
Strong interpersonal and communication skills with the ability to work effectively with the CFO, executive leadership, operations, and investor stakeholders

Additional Details

Franklin, Tennessee area
Primarily in-office
Immediate interim need
High-visibility position reporting directly to the CFO
Opportunity may have potential to transition to a permanent Controller role for the right individual

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