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Altus Community Healthcare

Assistant Controller

Houston, TX

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hirly's read of this role

Role family
Finance
Seniority
Mid level
Country
US
Work mode
On-site / unstated
First seen by hirly
27 Oct 2026

Derived automatically from the posting. Upload your resume above to see how the role scores against it.

the posting

Description

Job Title: Assistant Controller

Reports to: Controller

Location: Houston, TX / hybrid

Summary

We are a private equity–backed, multi-entity emergency care group looking for an Accounts Payable Manager to own the full AP cycle across our entities. You will run AP and corporate cards in Ramp and NetSuite, keep vendors paid accurately and on time, and deliver clean AP data for close, treasury and our PE partners at the corporate level.

Role & Responsibilities:

Close and facility books

  • Lead the monthly, quarterly and annual close across all entities and own the close calendar
  • Review back-office entries, facility trial balances, P&L trends and balance sheet reconciliations; resolve anomalies and aged items before close
  • Review accruals, prepaids, fixed assets, lease accounting (ASC 842) and payroll and incentive accruals
  • Review budget-to-actual and month-over-month flux and explain significant variances

Consolidation and intercompany

  • Review the consolidation, eliminations, non-controlling interest and the consolidated equity rollforward
  • Prepare the consolidated cash flow statement and review the consolidated financial statements before Controller sign-off
  • Evaluate accounting for new entities, acquisitions and divestitures, including consolidation and purchase accounting
  • Prepare the monthly intercompany reconciliation and confirm charges follow approved intercompany arrangements

Revenue recognition

  • Review net patient revenue under ASC 606, including implicit price concessions, true-ups and personal injury revenue and reserves
  • Review billing system (GoRev) and cash receipt reconciliations to the GL and partner with Revenue Cycle on collection trends

AP, treasury and tax oversight

  • Oversee the AP and treasury functions' accounting: AP subledger and bank reconciliations, reconciling items, and support for borrowing base and covenant reporting
  • Act as the internal point of contact for external tax advisors: return and K-1 tracking, estimates, notices and workpapers

Controls, audit and systems

  • Run internal accounting controls, the annual audit and PBC deliverables, disclosures and remediation of findings
  • Research technical accounting matters and write memos for Controller review
  • Support NetSuite integrity, cost allocations, entity profitability reporting and close automation

Team leadership

  • Direct, train and review the back-office bookkeeping team and outsourced accounting partners
  • Partner with FP&A and operations, and serve as the Controller's backup

Requirements

Educational Qualifications:

  • Bachelor's in accounting
  • 7+ years in accounting, including public accounting and 2+ years leading a close team
  • Multi-entity consolidation experience, including intercompany and non-controlling interest
  • Strong US GAAP knowledge, including ASC 606 and ASC 842
  • NetSuite or a similar ERP; advanced Excel

Preferred: Healthcare revenue recognition (net patient revenue, implicit price concessions); Big 4 background; acquisition and purchase accounting; experience managing offshore or outsourced teams.

Original posting on Altus Community Healthcare's site ↗

Listed on hirly, a job board. hirly is not the employer: Altus Community Healthcare is hiring for this role.

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