Interim Controller

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

Posted on Fri, Jun 12, 2026

Interim Controller (Contract)

📍 Nashville, TN – Onsite, 100% Office

Immediate need for an Interim Controller to lead accounting operations for a mid-sized healthcare organization (~$250M revenue)
Contract engagement with potential to transition into a permanent leadership role
High-impact opportunity supporting a mission-driven healthcare environment in a turnaround phase

Lead all aspects of accounting operations, including general ledger, financial reporting, and cash management
Drive a timely and accurate month-end close process, improving speed and quality of financial reporting
Prepare and distribute internal and external financial statements for leadership decision-making
Serve as the primary contact for the annual external audit, ensuring a clean audit process
Oversee budgeting, forecasting, and financial planning activities
Provide financial analysis and insights to executive leadership and department heads
Monitor accounts receivable aging and partner with revenue cycle teams to improve collections
Support healthcare reimbursement and cost reporting (Medicare/Medicaid)
Strengthen and maintain internal controls, policies, and procedures
Lead and mentor a small accounting team (including senior accountant and AP staff)
Participate in leadership and board-level financial reporting

Bachelor’s degree in Accounting or related field
5+ years of progressive accounting/finance leadership experience
Prior experience in healthcare or hospital accounting required
Strong knowledge of financial reporting, audits, and reimbursement
Experience managing month-end close and budgeting processes
Hands-on leadership style with ability to operate both strategically and tactically

Lean accounting team requiring a roll-up-your-sleeves leader
Complex payor mix including government programs, commercial insurance, and self-pay
Systems: ERP and healthcare EMR platforms