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Controller

VMG Health - Wilmington, NC

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Job Description

Opportunity Details Full Time Controller Wilmington, NC Wilmington Eye P.A. / Wilmington Eye Surgery Center LLC Controller Wilmington, NC area REPORTS TO: CEO POSITION SUMMARY: The Controller serves as the senior financial officer responsible for all accounting operations, financial reporting, and financial management across Wilmington Eye P.A.'s multi-location ophthalmology practice, ambulatory surgery center, and optical retail operations. This role provides strategic financial leadership and ensures the integrity of financial information used for business decisions, regulatory compliance, and operational excellence. REQUIRED QUALIFICATIONS: Bachelor's degree in accounting, Finance, or related field required; CPA or MBA preferred Minimum 3-5 years of progressive accounting/finance experience in healthcare private practice (non-hospital setting) Demonstrated expertise in revenue cycle oversight in a medical practice environment VALUED QUALIFICATIONS: Ophthalmology or specialty practice experience strongly preferred Proficiency in QuickBooks Experience with practice management/EHR systems Advanced proficiency in Excel and financial analysis capabilities Strong knowledge of GAAP, healthcare regulatory requirements, and internal controls KEY RESPONSIBILITIES: Financial Accounting & Reporting Direct the monthly close process ensuring accuracy, completeness, and timely completion Maintain and optimize the general ledger structure and chart of accounts across all entities Prepare comprehensive monthly financial statements for practice, ASC, optical, and infusion center operations Develop and report key performance indicators (KPIs) tailored to ophthalmology practice metrics Present financial results to physician partners and leadership with clear analysis and recommendations Budgeting & Forecasting Lead the annual budget development process across all service lines and locations Conduct monthly budget vs. actual variance analysis with actionable insights Prepare rolling cash flow forecasts and manage cash position optimization Model financial scenarios for strategic decision-making Revenue Cycle Management Provide financial oversight of accounts receivable performance and aging trends Monitor charge lag, claim submission processes, and revenue recognition accuracy Establish RCM financial governance including denial trends, collection rates, and payer performance Partner with billing team to optimize revenue capture and reduce AR days Analyze payer mix, reimbursement rates, and contribution margin by service line Internal Controls & Compliance Design, implement, and monitor internal controls and segregation of duties Ensure compliance with healthcare financial regulations and tax requirements Oversee payroll processing and benefits administration financial aspects Manage external audit process and relationships with CPA firms Operations & Strategic Support Oversee day-to-day financial operations across all practice locations Provide financial analysis and recommendations for capital planning and equipment acquisition decisions Support strategic initiatives including growth, expansion, and new service line evaluation Conduct financial due diligence for practice expansion or partnership opportunities Analyze physician productivity, compensation models, and practice profitability Supervise accounting staff and foster professional development Additional Duties Manage fixed asset tracking, depreciation schedules, and capitalization policies Coordinate with vendors, banks, and other financial service providers Support partnership matters including buy-in/buy-out calculations and allocations Maintain appropriate insurance coverages and risk management financial aspects COMPETENCIES: Strategic thinking with strong business acumen in healthcare operations Exceptional analytical and problem-solving abilities Clear communication skills with ability to translate financial data for non-financial audiences High attention to detail with commitment to accuracy Proactive, solutions-oriented approach Ability to manage multiple priorities and meet tight deadlines Collaborative leadership style with ability to work effectively with physicians and staff Integrity and discretion in handling confidential financial information PHYSICAL REQUIREMENTS & WORK ENVIRONMENT: Office environment with standard business hours; occasional extended hours during month-end close and year-end processes Ability to work on computer for extended periods Occasional travel between practice locations

Created: 2026-03-04

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