Controller

Description

Vanguard Skin Specialists is a growing, physician-led medical group with a bold and purpose-driven mission: to deliver outstanding care while building a scalable, sustainable platform for multi-specialty services. With 9 locations, ~150 employees, and expanding operations – including a dermatology/plastic surgery/aesthetic services medical practice, an ambulatory surgery center in development, a real estate portfolio, and retail skincare business—we are entering our next phase of growth.

Vanguard’s core values of humility, integrity, and excellence, along with our mission-driven approach, drive our work culture. We have been recognized as one of the top 3 large workplaces in Colorado Springs by the Gazette six years in a row and as one of the top 150 workplaces in Colorado by the Denver Post five years in a row.

We are seeking a results driven Controller who will take full ownership of our finance and accounting function, helping us build the financial infrastructure to support sustainable growth.

The Opportunity

As the Controller, you will lead financial operations across multiple business lines, including our clinical practice, real estate holdings, retail skincare business, and upcoming ambulatory surgery center (ASC). This is a unique opportunity for someone who enjoys both building and leading—comfortable diving deep into accounting details one day and presenting strategy to executive leadership the next.

You will report directly to the CEO and serve as a core member of the executive team, helping shape our financial roadmap while building the infrastructure to scale. You will work closely with the COO and fractional CFO on strategic financial initiatives.

Duties And Responsibilities

Financial & Strategic Planning

• Lead budgeting, forecasting, and financial modeling across all business entities.
• Build and maintain dashboards, KPIs, and executive reports to drive decision-making and to monitor the financial health of the organization and each of the businesses.
• Partner with CEO and COO on margin improvement, capital planning, and capital allocation strategy.
• Lead cost structure analysis across the enterprise with the goal of identifying margin improvement through cost controls, revenue strategy, or operational efficiency.
• Partner with CEO and COO for scenario models and ROI analyses for new investments, partnerships, and service lines.
• Implement rolling 12-month cash flow forecast.
  
  

Accounting & Reporting

• Develop a high-integrity, efficient accounting foundation to support multi-entity operations and future audit-readiness.
• Own the month-end close, general ledger oversight, and internal controls.
• Generate accurate and timely financial reports including the following: Balance Sheet, P&L, Statement of Cash Flows across all business entities.
• Work collaboratively with managers to develop budgets and forecasts for business units and to actively manage the practice to meet or exceed budget goals.
• Report significant variation in financial results from prior periods and/or budget and provide commentary and analysis of financials. Identify causes of variances in financial results and recommend corrective actions.
• Ensure compliance, tax readiness, and audit preparedness.
• Oversee policies for expense tracking, revenue recognition, and entity-level allocations.
• Lead reporting of key operational metrics including provider dashboard, impact scoreboard, and organizational KPIs.
  
  

Internal Controls & Processes

• Ensure scalable systems and processes that protect cash flow and reduce administrative overhead, especially as volume grows.
• Establish and monitor appropriate internal control policies and procedures.
• Ensure that the general ledger is supported by appropriate subsidiary ledgers and that all critical accounts are reconciled to subsidiary ledgers and third-party sources on a regular basis.
• Establish appropriate segregations of duties and where such segregation is not practicable, implement compensating controls.
• Oversee the A/R and A/P processes, ensuring optimal cash flow.
• Oversee the payroll process to ensure payrolls are complete and accurate and that all related taxes and benefits are accounted for properly and that all required reporting is completed on a timely basis. Oversee related benefits of 401K, profit share program, and PTO.
• Oversee all banking relationships and maintain treasury policies.
  
  

Real Estate & Capital Projects

• Oversee financial operations and reporting for a real estate portfolio.
• Serve as financial lead for our ambulatory surgery center (ASC) development project, including pro forma modeling and budget oversight. Partner with legal, clinical, and construction teams to track ASC financial milestones.
• Oversee cost segregation process for real estate properties.
• Manage property tax assessments for owned real estate, including initiating valuation appeals when necessary to reduce tax burden.
• Ensure all real estate assets are appropriately insured, including regular coverage reviews and coordination with insurance brokers.
  
  

Provider Compensation

• Calculate, analyze, and administer provider compensation and year-end bonuses with precision, timeliness, and alignment to organizational policies and performance goals.
• Maintain and enhance transparent dashboards and reporting tools to communicate provider productivity, expense allocations, and compensation metrics.
• Engage providers and leadership in data-driven discussions on provider collections and compensation.
  
  

Team Building & Growth

• Build systems, processes, and reporting to support a growing MSO and diversified portfolio.
• Participate in key strategic conversations at the executive level; evaluate and articulate the financial ramifications of all strategies considered.
• Design, develop, and manage a lean, high-impact finance team; define when and how roles are added.
• Role model Vanguard’s values of humility, excellence, and integrity, and help further the mission to make a positive impact on patients, community, and the world.
  
  

Learn more about Vanguard Skin Specialists at . We are a mission driven practice, aspiring to make an impact on our patients, our community and our world.

• 1 minute video about our mission .
• 5 minute founder story video
  
  

Compensation & Benefits

• Compensation:
• Base salary $130,000 to $150,000 plus annual performance bonus.
• Relocation assistance available if needed.
• Comprehensive benefits package
  

Qualifications

• Education: Bachelor’s degree in Accounting, Finance, or a related field required; CPA or active CPA eligibility strongly preferred. MBA or other master’s degree a plus.
• Experience: Minimum of 4 years in public accounting (audit or financial reporting focus preferred) plus at least 2 years in a corporate accounting or controller-level role; healthcare or multi-entity experience highly valued. Exposure to healthcare revenue cycle workflows a plus.
• Technical expertise: Strong proficiency in GAAP, financial analysis, internal controls, and reconciliation; advanced Excel including use of pivot tables, macros, and common formulas. Knowledge of Quickbooks, Power BI and SQL a plus.
• Analytical & Operational Capability: Proven ability to lead both accounting operations and forward-looking financial planning; ability to translate financial data into actional insights. Able to build budgets, rolling forecasts, and dashboards.
• Communication & Leadership: Minimum 3 years of financial team leadership with direct responsibility for performance management, delegation, and team development. Excellent communicator who can distill complex financial issues for non-financial audiences in both written and verbal format. Collaborative approach with executives and physicians.
• Professional Traits: Meticulous attention to detail with a solutions-oriented mindset. Actively seeks and acts on feedback. Excellent time management skills coupled with ability to work under pressure and meet deadlines no matter the circumstances. Demonstrated bias for action, follow-through, and above-average work ethic; treats the business like an owner and doesn’t require external motivation to go the extra mile. Absolute discretion and integrity regarding financial and personnel matters.
• Values Alignment: Strong commitment to Vanguard’s mission and values with a long-term stewardship mindset.
  
  

Location/Schedule

This is a full-time, onsite leadership position based at our headquarters in Colorado Springs: 12320 Oracle Blvd, Ste 350, Colorado Springs. Occasional travel to other locations will be required for meetings.

This is not a remote or hybrid position. As an executive team member, physical presence and availability are expected to support clinical operations, provider engagement, and team leadership. While we respect boundaries and work-life balance, our leadership culture is deeply engaged, requires responsiveness, flexibility, and a willingness to go beyond when needed—especially during periods of financial reporting, strategic planning, or key initiatives. This is an opportunity to lead with purpose alongside a founder-led team that works with urgency and mission.

Direct Reports

• Senior Staff Accountant
• Accounting Specialist
• Additional position TBD (to be hired)
  
  

A separate revenue cycle team handles medical accounts receivable. Close coordination is required with the leader of that department.

Offers for employment will be contingent on successful pre-employment screening for this position. The screenings will include a background check, drug screen, employment and education or licensure/certification verification, and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Vanguard Skin Specialists is a privately-owned medical practice that seeks to glorify God by serving patients and the community with humility, integrity, and excellence. Vanguard’s mission is to make a positive impact on our patients, our community, and our world. As a faith-driven organization, Vanguard will support and undertake initiatives and endeavors that support and further Vanguard’s stated purpose, mission, and values.

Vanguard Skin Specialists strives to be a workplace of choice for professionals who see medicine as a calling. We value employees (referred to as “team members”) who come from all walks of life and religious backgrounds. Team members are not required to share or practice the founders’ religious beliefs and have the right to excuse themselves from any function which compromises their own religious convictions. Any experience of distress or felt discrimination must be reported to HR or a direct supervisor immediately.

Vanguard Skin Specialists is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.