Career Opportunities with Rancho Health MSO, Inc.

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VP, Controller

Department: Finance
Location: Temecula, CA

Job Summary:

The intent of this job description is to provide a summary of the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.

The Vice President, Controller will be a key member of the Finance team, reporting directly to the Chief Financial Officer. This role is responsible for accurate and timely accounting and financial reporting for the company and its clinical affiliates, as well as overseeing the accounting department and its staff. The Accounting department manages all company accounting functions, including accounts payable, payroll, cash management, tax reporting and compliance, financial reporting, budgeting, and regulatory and contractual reporting. The Controller will foster cross-departmental collaboration, ensuring the accounting team supports the company with insights and efficiency in all interactions.

Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Lead and direct the accounting department to align with the company’s financial goals and priorities.
  • Oversee the monthly, quarterly, and annual financial statement preparation and the annual financial statement audit. Develop innovative financial reporting by segments (e.g., lines of business, region, provider).
  • Integrate newly acquired practices into the accounting team’s policies, processes, and systems.
  • Review and assess accounting transactions requiring significant estimation and judgment, such as fee-for-service and incentive revenue accruals.
  • Ensure strong internal controls are in place for financial processes, including banking, payroll, accounts payable, and other finance functions.
  • Manage banking relationships, cash management, and cash forecasting for the company and affiliates.
  • Coordinate business and income tax activities, including tax provisions, quarterly tax payment estimates, and annual tax return filings, working closely with the company’s tax advisors.
  • Partner with external auditors, providing oversight for the annual financial audit process, and support the Board and Audit Committee in selecting auditors and reviewing audit findings.
  • Collaborate with Financial Planning & Analysis (FP&A) to develop annual operating and capital budgets for the company and departments, offering regular budget variance analyses and forecast modeling.
  • Ensure compliance with all financial reporting requirements, including contractual and regulatory obligations, as well as lender reporting; monitor debt covenants and support compliance.
  • Promote a positive, service-oriented culture within the accounting team.
  • Support the senior leadership team, Board of Directors, and Board committees as needed.
  • Participate actively as a member of the company’s management team, contributing to leadership meetings and strategic initiatives.

Supervisory Duties & Responsibilities:

  • Responsible for hiring, training, and managing accounting department employees; planning, assigning, and evaluating work; managing performance; and resolving internal issues.
  • Oversee the direction, coordination, and evaluation of assigned managers and staff, as well as the tools used to complete department objectives.

Required education and experience: The requirements listed below are representative of the knowledge, skills, and/or ability required.

Minimum Education required:

  • High School Diploma or equivalent.
  • Bachelor’s degree in accounting, Finance, or a related business field required.
  • MBA or CPA preferred.

Minimum Experience Required:

  • Minimum of ten (10) years of accounting experience, with progressive responsibility.
  • Minimum of five (5) years in a senior leadership role.
  • Healthcare industry experience is required, ideally within a medical group (physicians or facilities). Must understand the healthcare revenue cycle and accounts receivable processes.
  • Required experience in multi-site/multi-specialty environments.
  • Preferred experience with private equity and lender reporting.

Minimum Knowledge and Skills Required:

  • Strong technical accounting expertise and a deep understanding of Generally Accepted Accounting Principles (GAAP), demonstrated through relevant training, experience, and credentials.
  • Proven success in leading teams, with strengths in recruiting, retaining, and developing accounting talent to achieve department excellence.
  • Proficiency in Microsoft Office (PowerBI, PowerPoint, Excel) and ERP systems (Sage, Oracle, etc.).
  • Strong leadership abilities to oversee and mentor finance teams.
  • Excellent communication and presentation skills, able to convey financial insights to executive leadership and stakeholders.
  • Ability to collaborate with cross-functional teams, including Operations, IT, HR, and clinical departments.
  • Strategic mindset with a capacity for change management and driving financial transformation initiatives.

 

 
 
 
 
 

 

 
 
 
 
 

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