[Remote] Interim CAO / Controller (Remote | Healthcare)

Note: The job is a remote job and is open to candidates in USA. Vaco by Highspring is partnering with a large, multi-location healthcare organization to hire an interim accounting leader. The role will stabilize and oversee the accounting function, lead integration and systems-transition work, strengthen controls and reporting, and accelerate the financial close.

Responsibilities

• Provide immediate leadership and oversight of the accounting function within a large, complex, multi-site healthcare organization
• Lead and develop a sizable accounting team, establishing clear ownership, deadlines, accountability, and escalation procedures
• Drive an accurate and accelerated month-end close process, identifying and eliminating bottlenecks that delay financial reporting or business operations
• Oversee general accounting activities, including general ledger, account reconciliations, journal entries, financial reporting, and corporate reporting requirements
• Lead accounting activities associated with a significant organizational integration, including the alignment of processes, reporting requirements, controls, and financial systems
• Support an ERP and financial systems transition while ensuring continuity of accounting operations and the integrity of financial information
• Implement and strengthen internal controls, accounting policies, procedures, and supporting documentation in an environment experiencing significant change
• Evaluate the accounting team's organizational structure, capabilities, workflows, and responsibilities and implement practical improvements to productivity and execution
• Delegate responsibilities effectively while developing accounting leaders and ensuring critical deliverables are completed accurately and on schedule
• Partner closely with the CFO and cross-functional leaders across finance, operations, IT, and other areas to resolve issues and maintain business continuity during the transition
• Identify accounting and reporting risks, dependencies, and resource constraints and communicate them clearly to executive leadership
• Improve processes and establish sustainable accounting practices that can be successfully transitioned to permanent leadership
• Support expanded reporting requirements associated with a large corporate environment and ensure accounting processes can meet increasingly compressed reporting deadlines
• Provide hands-on leadership during critical close, integration, and transformation activities rather than functioning solely in an advisory capacity

Skills

• Bachelor's degree in Accounting, Finance, or a related field required
• Active CPA required
• Significant experience serving as a Controller, Corporate Controller, Division Controller, or equivalent senior accounting leader within a large and complex organization
• Healthcare industry experience required
• Demonstrated experience leading accounting organizations through major transformation, acquisition integration, restructuring, or systems change
• Strong knowledge of U.S. GAAP, financial reporting, general ledger accounting, account reconciliations, internal controls, and close management
• Proven ability to improve and accelerate the month-end close process while maintaining accuracy, controls, and accountability
• Experience managing and developing accounting teams with multiple layers of leadership and responsibility
• Strong track record of establishing deadlines, delegating responsibilities, holding teams accountable, and driving critical initiatives through completion
• Experience working within a complex organization with multiple stakeholders, business units, or operating locations
• Large ERP Experience required (e.g., SAP, Workday, Oracle, NetSuite)
• Strong executive communication skills with the ability to clearly communicate risks, priorities, dependencies, and progress to senior leadership
• Ability to work effectively in an interim environment, quickly assess problems, establish credibility, and make practical improvements without disrupting day-to-day operations
• Experience supporting ERP conversions or financial systems integrations strongly preferred
• Ideally within a multi-site healthcare, physician services, healthcare services, or similarly complex operating environment

Benefits

• Eligible for discretionary bonuses
• Eligible for medical, dental, and vision benefits
• Eligible for the company's retirement plan (or similar retirement benefits)
• Remote with travel to the Southeast US approximately 2x per month

Company Overview