Controller

Highlands Oncology Group is seeking a Controller to lead and elevate our accounting operations as we continue to grow our impact on cancer care in the region. This is a hands-on leadership role at the intersection of operational rigor and strategic vision — you'll own the financial infrastructure of our practice while partnering closely with the CFO to drive performance, accountability, and scale.

This is not a back-office position. You'll be a trusted voice on the Finance Leadership Team, shaping how we build our people, processes, and systems for long-term sustainability. If you're energized by complexity, thrive in a mission-driven environment, and take pride in building something meaningful, we'd love to meet you.

Finance Leadership & Strategy

•         Partner with the CFO to build and mature the Finance function across people, processes, and technology to support the practice's current trajectory and future growth.

•         Support the annual budgeting and planning cycle; monitor progress and surface material changes that affect financial performance and health.

•         Produce the annual budget and rolling forecasts; report significant variances to leadership with clear context and recommendations.

•         Provide financial analysis with emphasis on capital investments, pricing decisions, and contract negotiations.

•         Recommend benchmarks and KPIs to track and measure organizational performance.

Accounting Operations & Controls

•         Maintain a documented system of accounting policies and procedures; implement controls over accounting transactions to minimize financial and compliance risk.

•         Oversee the production and timely dissemination of monthly financial reports, ensuring compliance with GAAP.

•         Coordinate with the Corporate Accountant to maintain accurate routine accounting entries, deposits, refunds, invoicing, distributions, and reconciliations.

•         Ensure compliance with all applicable local, state, and federal requirements, including sales taxes, franchise taxes, nonprofit reporting, and unclaimed property obligations.

Audit & Compliance

•         Lead engagement with external auditors and serve as the primary point of contact for the annual financial audit.

•         Actively manage audits of retirement plans, coding and billing, and financials.

•         Prepare employee insurance and benefits proposals in coordination with the Benefits team.

Team Development

•         Recruit, develop, and retain accounting and finance talent capable of scaling with the organization.

•         Continuously improve financial modeling, forecasting, reporting, and accounting processes to support HOG's mission and growth objectives.

•         Foster a culture of continuous learning by staying current on emerging accounting, finance, and healthcare industry trends through seminars, webcasts, and professional development.

•         Perform other duties as needed in support of the Finance team's objectives.

•         Passionate about healthcare and HOG's mission — you understand that the work you do directly supports exceptional patient care.

•         A clear communicator who can translate complex financial data into insights that resonate with non-finance stakeholders.

•         Comfortable with ambiguity; you lead through change and hold yourself and others accountable to outcomes.

•         A deep thinker who asks hard questions, challenges assumptions, and brings intellectual honesty to every conversation.

•         Empathetic and ego-free — you lead by lifting others up, not by asserting authority.

•         Detail-oriented, but never loses sight of the bigger picture.

•         Energized by building: systems, teams, and processes that didn't exist before.