Homeland

Vice President & Controller
Accounting & Finance
KnoxvilleTennessee Direct Hire Jul 10, 2026
Job Summary
Homeland Talent Solutions is partnering with a leading integrated healthcare system to identify an experienced Vice President & Controller. The Vice President & Controller provides executive leadership for enterprise accounting and financial operations across a complex, multi-entity healthcare organization. Reporting to senior financial leadership, this executive is responsible for accounting, financial reporting, fixed assets, accounts payable, payroll, tax, reimbursement, audit coordination, and financial governance.

The Vice President & Controller ensures the accuracy and integrity of financial reporting, maintains a strong internal control environment, supports regulatory compliance, and partners with executive leadership to drive the organization's long-term financial strategy. Our client is a highly respected, integrated healthcare system serving multiple communities through acute care hospitals, physician practices, outpatient services, behavioral health, home health, hospice, and specialty care.

This executive leadership opportunity offers the chance to shape enterprise-wide financial strategy, lead and develop high-performing teams, strengthen financial operations across the organization, and support a mission-driven health system dedicated to delivering exceptional patient care.

Responsibilities
  • Provide executive leadership and oversight for enterprise accounting and finance operations across a complex, multi-entity healthcare system
  • Lead, mentor, and develop high-performing accounting leaders through succession planning, coaching, and performance management
  • Partner with executive leadership to support strategic planning, financial governance, and long-term financial stewardship
  • Represent the finance organization on enterprise-wide initiatives and cross-functional leadership teams
  • Direct all enterprise accounting operations in accordance with GAAP and healthcare industry standards
  • Oversee the monthly close process, general ledger integrity, account reconciliations, and consolidated financial reporting
  • Ensure the timely preparation and delivery of executive financial reports and all required external financial reporting
  • Coordinate annual external audits and ensure timely resolution of audit findings and recommendations
  • Provide executive leadership for technical accounting matters, accounting policy, and complex financial transactions
  • Oversee accounts payable and payroll operations, ensuring accuracy, efficiency, and regulatory compliance
  • Maintain a strong internal control environment and ensure adherence to organizational policies and financial governance standards
  • Ensure timely, accurate, and compliant processing of financial transactions across the organization
  • Oversee tax compliance, healthcare reimbursement, and cost reporting activities
  • Ensure compliance with all applicable federal, state, and payer regulations while monitoring regulatory changes and implementing necessary organizational responses
  • Lead the optimization and continuous improvement of ERP and financial systems to enhance operational performance
  • Drive finance transformation initiatives that improve efficiency, reporting capabilities, standardization, and overall operational effectiveness
  • Champion continuous process improvement initiatives across all accounting and financial operations
  • Build and sustain a high-performing, collaborative accounting organization focused on accountability, service excellence, and continuous development
  • Lead complex enterprise initiatives and perform other executive leadership responsibilities as assigned

Requirements
  • Bachelor's degree in Accounting required
  • Active Certified Public Accountant (CPA) designation required
  • Minimum of seven (7) years of progressive leadership experience in accounting or finance
  • Current leadership experience within healthcare accounting or finance is required
  • Strong knowledge of GAAP, financial reporting, internal controls, financial compliance, and regulatory requirements
  • Demonstrated ability to lead high-performing teams and manage complex accounting operations in a large, multi-entity organization
  • Current or recent experience serving as a Controller within a healthcare organization, preferred
  • Experience supporting a multi-hospital health system or integrated healthcare delivery network, preferred
  • Executive leadership experience managing large accounting and finance teams, preferred
  • Experience leading ERP implementations, financial systems optimization, and finance transformation initiatives, preferred
  • Proven success partnering with executive leadership to drive strategic financial initiatives and organizational performance, preferred

Benefits
This executive opportunity offers a competitive annual base salary of $200,000–$300,000, based on experience and qualifications, along with a comprehensive executive benefits package. In addition to a 20% annual incentive bonus opportunity, the organization offers an 8% employer match on the 401(k)-retirement plan, participation in a 457(b) deferred compensation plan, and a robust benefits package designed to support the health, financial well-being, and work-life balance of its leaders.

Summary
Join a mission-driven healthcare organization where your leadership will shape enterprise financial strategy, strengthen operational excellence, and make a lasting impact on the delivery of exceptional patient care. Apply today!



EEO Notice
Homeland LLC is an Equal Opportunity Employer. Homeland LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws. Homeland LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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