Controller

About Graybill Medical Group For more than 90 years, Graybill Medical Group has provided high\-quality healthcare to generations of families throughout North County San Diego. As one of the region’s largest independent primary and specialty care medical groups, we provide care across multiple clinic locations and are committed to serving the patients and communities of North County. Position Overview Graybill Medical Group is seeking an experienced Controller to serve as the senior accounting leader responsible for the integrity, accuracy, and control of our accounting function. Reporting directly to the Chief Financial Officer (CFO), the Controller will own the day\-to\-day accounting function, including the general ledger, month\-end close, balance\-sheet reconciliations, financial reporting, technical accounting, internal controls, audit readiness, and leadership of assigned Finance staff. This is a hands\-on leadership role for a strong technical accountant who can independently manage complex accounting issues, strengthen processes and controls, and develop an accountable accounting team. What You’ll Do Lead the monthly, quarterly, and annual close and preparation of accurate, GAAP\-compliant financial statements. Oversee the general ledger, balance\-sheet reconciliations, accruals, prepaids, fixed assets, debt, payroll accounting, and other significant accounting activity. Serve as the organization’s technical accounting leader, researching and resolving routine and complex GAAP matters. Establish and strengthen internal controls, accounting policies, documentation standards, and financial processes. Lead accounting preparation for audits, tax work, due diligence, and other external financial reviews. Oversee accounts payable and payroll accounting and related financial controls. Lead, develop, and hold accountable assigned Finance and accounting staff. Improve accounting systems, workflows, documentation, and processes to increase accuracy and efficiency. Independently investigate and resolve accounting issues, escalating material matters to the CFO with clear analysis and recommendations. Provide reliable financial information to support forecasting, cash planning, Board reporting, and executive decision\-making. What We’re Looking For Bachelor’s degree in Accounting, Finance, or a closely related field. Progressive accounting experience with responsibility for financial reporting, general ledger, month\-end close, reconciliations, and internal controls. Strong working knowledge of U.S. GAAP and the ability to research and apply accounting guidance. Experience supervising and developing accounting professionals. Advanced spreadsheet and financial systems proficiency. Strong analytical, problem\-solving, organizational, and leadership skills. CPA preferred. Prior Controller, Assistant Controller, Accounting Manager, or comparable senior accounting leadership experience strongly preferred. Healthcare, physician practice, medical group, or other multi\-site healthcare experience preferred. Experience supporting audits, tax preparation, due diligence, or other external financial reviews preferred. What Success Looks Like The successful Controller will take ownership of the accounting function and operate with a high degree of independence. Success means a reliable and timely close, accurate financial statements, reconciled and supportable accounts, strong internal controls, audit\-ready documentation, and an accounting team with clear ownership and accountability. This role should enable the CFO to focus on forward\-looking financial strategy rather than routine transactional and technical accounting matters. Benefits Graybill Medical Group offers a comprehensive benefits package for eligible full\-time employees, including: Medical, dental, and vision insurance 401(k) retirement plan FSA/HSA options Paid time off and paid holidays Employee Assistance Program Voluntary short\-term and long\-term disability insurance * Voluntary life, critical illness, and accident insurance Join Our Team If you are an experienced accounting leader who enjoys taking ownership, solving complex accounting problems, developing strong teams, and building disciplined financial processes, we invite you to apply. Graybill Medical Group is an Equal Opportunity Employer and is committed to providing equal employment opportunities in accordance with applicable federal, state, and local laws. Pay: $155,000\.00 \- $180,000\.00 per year Work Location: Hybrid remote in Escondido, CA 92025