Controller – Senior Accountant

Premier Home Dialysis Services

Controller/Senior Accountant overseeing financial operations across multiple entities in healthcare. Managing full-cycle accounting, payroll, and compliance in a remote role.

Posted 6/24/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $85,000 - $110,000 per yearWebsite

About the role

Key responsibilities & impact

Manage full-cycle accounting for six related entities
Maintain accurate general ledgers using accrual-based accounting
Prepare and analyze monthly Profit & Loss (P&L) statements and Balance Sheets
Perform monthly, quarterly, and year-end close processes
Ensure consistency across entities with shared vendors and cost structures
Oversee all bill pay processes across entities
Maintain vendor relationships and ensure timely payments
Monitor expenses and identify cost-saving opportunities
Provide weekly AR reporting to CEO
Track collections and aging reports
Work closely with operations to improve revenue cycle efficiency
Process payroll for ~10 full-time employees using Gusto
Manage payments for ~10 independent contractors
Ensure payroll tax compliance across multiple states
Ensure compliance with multi-state tax regulations
Coordinate with external CPAs for tax filings and audits
Maintain proper documentation and internal controls
Provide weekly AP and AR updates to CEO
Assist in developing financial dashboards and KPIs
Support strategic decision-making with financial insights
Help build scalable accounting processes as the company grows

Requirements

What you’ll need

Bachelor’s degree in Accounting, Finance, or related field
5+ years of accounting experience (Controller or Senior Accountant level preferred)
Strong experience with accrual-based accounting , P&L, and balance sheets
Experience managing multiple entities simultaneously
Payroll experience (preferably with Gusto or similar platform)
Experience with multi-state tax compliance
High attention to detail and strong organizational skills
Ability to work independently in a remote environment

Benefits

Comp & perks

Competitive salary (based on experience)
Virtually unlimited PTO (flexible time off policy)
401(k) with employer match
Health insurance through Blue Cross Blue Shield for primary employee
Additional dependent coverage options available
Fully remote work environment
Opportunity to grow into a leadership role as the company expands
Direct access to CEO and involvement in strategic decisions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

full-cycle accountingaccrual-based accountingProfit & Loss statementsBalance Sheetspayroll processingmulti-state tax compliancefinancial dashboardsKPI developmentcost-saving analysisvendor management

Soft Skills

attention to detailorganizational skillsindependent workstrategic decision-makingcommunication skills

Certifications

Bachelor’s degree in AccountingBachelor’s degree in Finance