Controller - Healthcare Operations
Lakewood, NJ | Onsite
$130 - 160K (DOE
Position Overview
A fast-growing, multi-state ABA company is seeking a hands-on Controller / Head of Finance Operations to bring all bookkeeping and accounting functions fully in-house and stabilize day-to-day financial operations. This is a highly operational role for someone who thrives in the details, takes ownership, and can build structure where it doesn’t yet exist.
This role is critical to creating financial clarity and discipline during a growth phase. For at least the first 6 months, this individual will personally execute bookkeeping and core accounting work while establishing scalable systems and controls.
The Ideal Candidate
Roll-up-your-sleeves finance professional
Comfortable owning bookkeeping and accounting end-to-end
Highly organized, accountable, and execution-focused
Calm in fast-moving, evolving environments
Process-builder who enjoys bringing order and structure
Confident working directly with ownership
Key Responsibilities
Hands-On Financial Operations
Personally bring bookkeeping and accounting in-house from outsourced providers
Manage day-to-day accounting, reconciliations, and month-end close
Ensure accuracy, continuity, and clean financial records
Establish internal controls, workflows, and documentation
Oversee AP, AR, payroll coordination, and general ledger integrity
Operational Finance & Reporting
Prepare monthly financial statements and variance analyses
Support budgeting and forecasting processes
Track cost per client, clinic-level profitability, and margins
Partner with leadership on operational financial questions
Hold vendors and processes accountable
Foundation Building
Create repeatable systems to support scale
Assist in building and training future finance team members
Serve as the operational finance backbone of the organization
Qualifications & Must-Haves (Non-Negotiable)
Willingness to personally handle bookkeeping during the first 6 months
Strong hands-on accounting background
Experience bringing structure to growing organizations
High attention to detail with strong follow-through
Comfortable working onsite and closely with leadership
Nice to Have
Healthcare, ABA, or multi-location services experience
Experience working with outsourced accountants/bookkeepers
Interest in growing into broader finance leadership
Email resume to: nechi@maiplacement.com
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