New York
Job Description Position Title: Controller Reports To: CEO/Founder Dotted Line: COO Role Summary The Controller is responsible for overseeing all accounting, financial controls, and reporting functions for a multi-location dental organization and its affiliated entities. This role ensures the accuracy, integrity, and timeliness of financial information while maintaining strong internal controls, compliance, and fiscal discipline across clinical, administrative, and management services operations. The Controller plays a critical role in supporting executive leadership by delivering clear financial visibility into practice performance, provider economics, production and collections, insurance activity, and operating margins. This position partners closely with clinical leadership, operations, HR, payroll, and external advisors to ensure the financial infrastructure supports growth, profitability, and long-term sustainability. This role requires a hands-on financial leader who understands the unique complexities of dental revenue cycles, provider compensation structures, lab and supply costs, and multi-entity healthcare accounting. Key Relationships • CEO/Founder, • COO, • PE, • Office Managers, • Doctors and Clinical Leadership, • Payroll & HR, • External CPAs, Auditors, and Tax Advisors, • Banking and Merchant Services Providers The Controller serves as the financial control center for all dental operations. Core Responsibilities Accounting Operations & Financial Close • Oversee all day-to-day accounting activities across dental practices and MSO entities, including general ledger, AP, AR, payroll coordination, and bank reconciliations., • Manage monthly, quarterly, and annual close processes with strict deadlines and high accuracy., • Ensure proper recording of dental revenue, adjustments, insurance receivables, write-offs, refunds, accruals, and prepaids., • Maintain clean, well-supported balance sheets, including insurance AR, unapplied cash, lab accruals, and payroll liabilities. Dental Financial Reporting & Practice Performance • Prepare monthly financial statements by entity, location, and consolidated group., • Analyze production vs. collections, provider performance, hygiene metrics, and chair utilization., • Track and report key dental KPIs including collection percentages, insurance aging, lab costs as a percentage of revenue, payroll ratios, and overhead benchmarks., • Provide leadership with actionable insights into profitability by doctor, service line, and location. Revenue Cycle & Insurance Oversight • Partner with billing and revenue cycle teams to ensure accurate posting of production, payments, adjustments, and insurance activity., • Monitor insurance aging, write-offs, refunds, and unapplied balances., • Identify trends or risks related to payer mix, delayed collections, or revenue leakage., • Ensure alignment between clinical systems (e.g., Dentrix Ascend) and accounting records. Payroll, Provider Compensation & Labor Controls • Oversee payroll accounting and coordination, including multi-state payroll and clinical schedules., • Ensure accurate accounting for doctor compensation, hygiene pay, bonuses, commissions, and incentives., • Partner with HR to ensure wage, overtime, PTO, and benefit accruals are properly recorded., • Monitor labor costs relative to production and collections benchmarks. Internal Controls, Compliance & Audit Readiness • Design, implement, and maintain strong internal controls appropriate for a healthcare environment., • Ensure compliance with GAAP, payroll laws, tax requirements, and healthcare-related financial standards., • Maintain audit-ready documentation for all balance sheet accounts., • Support audits, reviews, lender requests, and transaction-related due diligence. Cash Management & Treasury • Monitor cash flow, liquidity, and working capital across all locations., • Oversee bank accounts, credit cards, merchant services, and patient payment platforms., • Ensure timely payment of vendors, labs, payroll, taxes, and insurance-related obligations., • Support leadership with cash planning for expansions, equipment purchases, and new locations. Multi-Entity & MSO Structure Management • Manage accounting across dental practices, and related ownership structures., • Ensure accurate intercompany allocations, management fees, and eliminations., • Maintain consistency in accounting policies, chart of accounts, and reporting standards across all locations. Systems, Processes & Documentation • Maintain and improve accounting systems and integrations with dental software and payroll platforms., • Identify inefficiencies, risks, or control gaps and proactively implement improvements., • Develop and maintain accounting policies, procedures, and close checklists., • Support system scaling as the organization grows. Strategic Support & Leadership Partnership • Act as a trusted financial advisor to leadership, providing clear, defensible financial data., • Support strategic initiatives including practice acquisitions, de novos, restructurings, and sales processes., • Assist with financial modeling, data rooms, and disclosures related to transactions or financing. Core Competencies Dental Financial Expertise Demonstrates a deep understanding of dental practice economics, including production, collections, insurance, provider compensation, and lab costs. Financial Accuracy & Integrity Executes all responsibilities with exceptional precision and ethical judgment. Ensures financial data is reliable, defensible, and audit-ready. Control & Risk Awareness Naturally identifies financial, compliance, and operational risks within a healthcare environment and implements practical safeguards. Analytical Insight Translates complex financial data into clear insights that inform operational and clinical decision-making. Operational Partnership Collaborates effectively with doctors, office managers, and operations leaders to support practice performance and profitability. Confidentiality & Professionalism Handles sensitive financial, payroll, and provider compensation information with absolute discretion. Key Performance Indicators (KPIs) Performance is evaluated through financial accuracy, timeliness of close, strength of internal controls, audit outcomes, leadership feedback, and the Controller’s ability to proactively identify and resolve financial risks impacting practice performance. Qualifications Required • Bachelor’s degree in Accounting or Finance, • 7+ years of progressive accounting experience, • Strong GAAP knowledge, • Experience in multi-location or healthcare accounting, • Advanced Excel and accounting systems proficiency, • High attention to detail and organization Preferred • CPA, • Dental, healthcare, or MSO experience, • Experience supporting audits, acquisitions, or transactions Disclaimer This job description is not exhaustive and may be modified as business needs require.