Controller

About the Company

IntellaTriage’s mission is to improve the lives of nurses and patients. We provide high-quality nurse triage services for hospice, home health, palliative care, physician groups, health systems, and more. Our approach has revolutionized the world of after-hours triage. By partnering with us, healthcare providers reduce nurse burnout and improve patient experience. We ensure our providers’ patients receive the care they need any time, any place. IntellaTriage acts as a triple threat after-hours by benefiting all stakeholders: patients receive comforting and medically appropriate guidance, nurses reduce workload and burnout, and providers improve their bottom-line by reducing costs.

About the Role

We are seeking an experienced Controller to lead and scale our accounting organization as IntellaTriage continues its rapid growth. Reporting directly to the CFO, the Controller will be responsible for the integrity of the Company's financial reporting, accounting operations, internal controls, tax and regulatory compliance, treasury management, and the development of scalable financial processes. This is a highly visible leadership role with the opportunity to help shape the future of our finance organization. The ideal candidate is equally comfortable solving day-to-day accounting challenges and thinking strategically about building a scalable, high-performing accounting function. This role is based in Brentwood, TN.

Responsibilities

• Lead the monthly, quarterly, and annual close processes, ensuring timely, accurate, and U.S. GAAP-compliant financial reporting.
• Prepare and review financial statements, journal entries, account reconciliations, supporting schedules, and balance sheet analyses.
• Establish, maintain, document, and continuously improve accounting policies, procedures, and internal controls appropriate for a rapidly growing organization.
• Own the annual financial statement audit and serve as the primary liaison with the Company's external auditors.
• Coordinate federal, state, and local income tax returns and other tax filings by managing relationships with external tax advisors and internal stakeholders.
• Oversee multi-state compliance matters, including state income and franchise taxes, payroll tax compliance, business registrations, and related requirements.
• Develop and maintain a disciplined process for identifying, documenting, reviewing, and accounting for capitalized costs related to internally developed software in accordance with U.S. GAAP.
• Oversee accounts payable operations, vendor onboarding and maintenance, approval workflows, and payment controls.
• Manage cash and treasury activities, including cash forecasting, banking relationships, account administration, and controls over disbursements and transfers.
• Evaluate, select, implement, and optimize accounting systems and related financial technologies as the organization scales.
• Strengthen management reporting by developing dashboards, key performance indicators, and recurring analyses that translate accounting results into actionable business insights.
• Partner with FP&A and operational leaders to explain financial results, investigate variances, improve accountability, and support informed decision-making.
• Support budgeting, forecasting, Board reporting, strategic initiatives, due diligence, and other high-impact projects as needed.
• Identify financial, operational, and compliance risks before they become problems and recommend practical, business-oriented solutions.

Requirements

• Bachelor's degree in Accounting required; a master's degree is a plus.
• Active Certified Public Accountant (CPA) license required.
• 10 or more years of progressive accounting experience with increasing levels of responsibility.
• 3 or more years of experience directly managing and developing an accounting team.
• Deep knowledge of U.S. GAAP, financial statement preparation, technical accounting, account reconciliations, and month-end close processes.
• Demonstrated experience leading annual financial statement audits and working directly with external auditors.
• Strong experience designing, implementing, documenting, and monitoring internal controls, accounting policies, and financial governance processes.
• Experience with multi-state operations and compliance, including state income or franchise taxes, payroll taxes, business registrations, and coordination of labor compliance matters.
• Experience accounting for internally developed software and applying capitalization guidance to software development projects is a plus.
• Experience leading an accounting system or ERP implementation, conversion, or significant optimization initiative is a plus.
• Strong understanding of accounts payable, vendor management, payment controls, and treasury management.
• Advanced proficiency in Microsoft Excel and experience with modern accounting and reporting software.
• Excellent written and verbal communication skills, including the ability to explain complex accounting matters and financial results to non-financial leaders.
• Exceptional analytical, organizational, project management, and problem-solving skills.
• Healthcare services, technology-enabled services, multi-state service organization, or high-growth company experience preferred.

Traits & Characteristics

• You thrive on building scalable processes rather than maintaining the status quo.
• You believe accounting should protect and enable the business, not unnecessarily slow it down.
• You create structure, clarity, and accountability in fast-moving environments.
• You earn trust through integrity, transparency, consistency, and follow-through.
• You do what is right every time and without question.

Benefits

• Medical, dental, and vision insurance
• Long-term disability (LTD) and short-term disability (STD) insurance
• Supplemental insurances
• Paid time off (PTO)
• 401k plan with company contribution