Corporate Controller

Role overview

Areté Health is an investor-backed outpatient rehabilitation business focused on scaling in a disciplined way while maintaining strong patient care and operational performance. The organization is growing through acquisitions and new clinic launches, and it is looking for a hands-on Corporate Controller to establish and run a high-performing accounting function that can support this next phase of expansion.

This position sits at the center of the finance organization and is responsible for accurate reporting, accounting operations, internal controls, and compliance. It works closely with the Vice President of Financial Planning & Analysis, the Chief Executive Officer, the PE sponsor's CFO, outside accounting and tax partners, auditors, lenders, and operational leaders.

The role is based in Nashville, Tennessee, with a hybrid work arrangement preferred.

Reporting structure

Direct reporting is to the Vice President of Financial Planning & Analysis. There is also dotted-line reporting to the Chief Executive Officer and the PE sponsor's CFO.

What you'll own

• Run the monthly, quarterly, and annual close cycle so reporting is completed accurately and on time.
• Prepare and safeguard the monthly and annual financial statements in accordance with U.S. GAAP.
• Oversee the general ledger, including journal entries, accruals, reconciliations, and balance sheet accuracy.
• Maintain the chart of accounts and manage accounting system administration in Sage or an equivalent ERP.
• Create, document, and keep up-to-date accounting policies and procedures.
• Investigate and resolve technical accounting issues when they arise.
• Lead the outsourced accounting partner, LBMC, and ensure month-end tasks and accounting deliverables are completed properly.
• Set expectations for external accounting support, monitor performance, and drive process improvements.
• Review partner-prepared accounting work for accuracy and completeness.
• Manage daily cash activity and bank relationships.
• Review bank reconciliations, cash receipts, ACH and wire activity, and treasury controls.
• Support weekly cash flow reporting and work with FP&A on liquidity planning.
• Make sure lender reporting and banking compliance requirements are met on time and accurately.
• Oversee accounts payable, vendor setup, vendor maintenance, and payment processing.
• Provide oversight for payroll accounting and related reconciliations.
• Handle lease accounting and fixed asset accounting.
• Ensure intercompany transactions and account transfers are recorded correctly where needed.
• Design, implement, and strengthen internal controls across the accounting function.
• Maintain a control environment that protects financial integrity and reduces operational risk.
• Ensure compliance with U.S. GAAP, lender covenants, tax obligations, and internal accounting policies.
• Find opportunities to automate work and improve efficiency while preserving proper segregation of duties.
• Act as the main accounting contact for external auditors.
• Lead the annual financial statement audit and coordinate all supporting materials.
• Work with external tax advisors on federal, state, and local tax compliance.
• Support annual financial statement preparation and regulatory reporting needs.
• Assist with acquisition diligence, purchase accounting, and integration activities.
• Lead accounting integration for newly acquired and de novo clinics.
• Standardize accounting processes across newly integrated operations.
• Partner with operational leaders to ensure smooth financial integration and consistent reporting.
• Work with FP&A to prepare monthly and quarterly reporting packages for executives, lenders, and the PE sponsor.
• Keep the PE sponsor's CFO informed on reporting, accounting matters, integration efforts, lender requests, and strategic priorities.
• Deliver timely, reliable financial information that helps leadership make informed decisions.
• Collaborate with Revenue Cycle, Operations, Human Resources, Technology, and other teams to improve financial processes and overall performance.

Required qualifications

• An active CPA license is required.
• A bachelor's degree in Accounting or Finance is required.
• At least five years of progressive accounting leadership experience, including ownership of month-end close and financial reporting.
• Prior healthcare accounting experience is required, and outpatient physical therapy experience is strongly preferred.
• Experience working in multi-location healthcare organizations.
• Background in a fast-growing, private equity-backed environment with success supporting rapid scale.
• Strong command of U.S. GAAP, reporting, internal controls, and accounting operations.
• Experience leading outsourced accounting teams or shared-service relationships is preferred.
• Exposure to acquisitions, purchase accounting, and financial integration.
• Advanced Excel capability and hands-on experience with Sage or a comparable ERP system.

Leadership and working style

• Confident executive presence, practical judgment, and strong business sense.
• Ability to build scalable accounting processes and guide organizational change.
• Excellent project management, organization, and attention to detail.
• Collaborative approach with the ability to influence across Finance, Operations, Revenue Cycle, Human Resources, and Technology.
• A continuous-improvement mindset with a focus on automation, efficiency, and operational excellence.
• High ownership, accountability, and integrity.
• Strong written and verbal communication skills for interactions with executives, investors, lenders, auditors, and advisors.

Why this role stands out

This is a chance to shape the accounting foundation of a fast-scaling, private equity-backed healthcare company. The position offers high visibility, direct partnership with executive leadership and investors, and the opportunity to influence financial operations and strategic growth initiatives.

Areté Health emphasizes steady improvement and a culture of progress. The company aims to become 1% better every day while expanding access to rehabilitation services and creating long-term value for patients, teammates, communities, and stakeholders.

Additional information

The organization is currently expanding through acquisitions and de novo clinic growth. The role includes partnership with outsourced accounting support and requires comfort operating in a fast-paced environment with multiple stakeholders.