Accounting Manager | Controller

Controller

Location: On-Site

Schedule: Full-Time

Hours: Monday through Friday, 8:00 a.m. to 5:00 p.m.

Lead the Accounting Engine of One of the Fastest-Growing Home Care Companies

Total Care Connections, one of the fastest-growing home care organizations in Arizona and Colorado, is seeking a hands-on, highly skilled Controller to lead our growing accounting function.

This is not a role for someone who wants to sit back and delegate everything. We are looking for a true roll-up-your-sleeves financial leader who loves detailed accounting work, thrives in a fast-paced environment, and is energized by leading a small remote team of accounting, medical billing, and IT professionals, including overseas staff.

If you are a strong accounting technician, an excellent communicator, and someone who takes pride in accuracy, systems, and clean financial reporting, this role is for you.

What You Will Do

Hands-On Accounting and Daily Operations

You will be directly involved in every key part of our accounting process, including:

• Leading day-to-day accounting and transaction coding across multiple entities
• Managing weekly billing processes across all payer types including private pay, Medicaid, VA, LTC insurance, and medical claims
• Overseeing accounts receivable including aging, reporting, collections, and claim follow-up
• Overseeing accounts payable through Ramp and ensuring accurate, timely vendor payments
• Performing bank reconciliations and general ledger maintenance
• Reconciling WellSky, KanTime, and other billing/EHR systems with QuickBooks Online
• Recording, depositing, and accurately classifying incoming checks and payments
• Managing and improving Paychex payroll integration to strengthen cost accounting by service line and location

Financial Reporting and Analysis

• Prepare monthly, quarterly, and annual financial statements
• Lead cash-to-accrual conversions for internal management reporting
• Support annual budgeting and forecasting in partnership with internal leadership
• Provide budget-to-actual reporting to help leadership monitor financial performance
• Maintain chart of accounts integrity and ensure GAAP compliance
• Partner with external CPA support for audits, tax planning, and financial strategy

Medical Billing Oversight

• Ensure billing is accurate, compliant, and timely across all payer sources
• Troubleshoot claim denials and guide the billing team toward best practices
• Manage overseas billing and collections team members
• Identify root causes of recurring billing issues and implement long-term solutions

Team Leadership and Collaboration

• Lead a small remote accounting and billing support team, including international staff
• Work closely with the COO and CEO to ensure financial visibility and operational alignment
• Support credentialing oversight to ensure licenses, enrollments, and certifications remain current
• Lead IT support staff and vendors to ensure systems performance and data accuracy
• Collaborate with operations, recruiting, and scheduling teams to improve workflows and financial processes

Systems, Controls, and Process Improvement

• Strengthen internal controls and improve financial workflows company-wide
• Streamline processes, integrate systems, and reduce manual tasks
• Support property accounting for company-owned buildings, including rent tracking, CAM reconciliation, and capital improvements
• Drive continuous improvement across software tools, automations, and reporting accuracy

What Makes You a Great Fit

You are someone who:

• Enjoys doing the accounting work personally while also leading others
• Communicates clearly, follows through consistently, and holds others accountable
• Thrives in a fast-moving organization where processes evolve and improve
• Brings the mindset of an Ideal Team Player: humble, hungry, and smart
• Loves structure, accuracy, and solving complex financial and operational challenges

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required
• Minimum of 5 years of progressive accounting experience
• At least 2 years of management or supervisory experience
• Strong proficiency in QuickBooks Online and Excel (pivot tables, VLOOKUP, formulas)
• Experience with multi-entity accounting and cash-to-accrual conversions
• Healthcare accounting and medical billing oversight experience strongly preferred
• Familiarity with payroll systems, AP systems, and system reconciliations
• Strong analytical ability, attention to detail, and communication skills
• Ability to work on-site and effectively lead a hybrid remote and overseas team
• Excellent time management and ability to manage multiple priorities

Why Work at Total Care Connections

At Total Care Connections, we believe in taking care of our team so they can take great care of others. We are mission-driven, growth-focused, and committed to excellence. If you are looking for a leadership role where your work directly impacts the organization and where you can build systems that scale, you will love it here.

Our Comprehensive Benefits Package Includes

• Competitive pay
• Health, dental, and vision insurance
• Paid time off and paid holidays
• 401(k) retirement plan with company match

Financial and Income Protection

• Short-term disability insurance
• Long-term disability insurance
• Company-paid life insurance
• Voluntary life insurance options
• Accident insurance
• Critical illness insurance

Family and Life Support

• Paid pregnancy disability leave up to six weeks
• Up to two weeks of paid parental leave
• Supportive return-to-work culture for growing families

Unique Total Care Connections Benefits

• Total Care Relief Fund to support team members during times of unexpected hardship
• Leadership team that values integrity, accountability, and performance
• Opportunity to make a meaningful impact in a rapidly growing organization
• A company culture built on servant leadership and doing the right thing

Ready to Lead a Growing Accounting Department?

If you are a highly capable accounting leader who thrives in the details, loves improving systems, and wants to be part of a fast-growing organization making a real impact, we would love to meet you.

• Apply today and help us continue delivering extraordinary care.