Controller

Company Overview 
Our Client is a rapidly growing behavioral health organization providing evidence-based outpatient and day treatment services for adolescents and young adults. As the organization continues to expand, they are seeking an experienced Controller to lead financial operations, budgeting, and forecasting while partnering closely with leadership to support strategic growth and long-term scalability.    

Position Overview 
The Controller will oversee all accounting and financial operations while driving budgeting, forecasting, and financial strategy across multiple entities. This role requires deep experience in behavioral healthcare, specifically PHP and/or IOP programs, with a strong understanding of billing structures, revenue cycles, and operational realities unique to this space. 
This is a hands-on leadership role for a finance professional who can both execute and lead- someone who is comfortable “calling the shots,” improving systems, and proactively guiding leadership on what needs to happen financially to support growth. 

Location:  Boston, MA 
Schedule:  Onsite, Full-Time 
Salary Range:  $130,000 – $200,000  
Benefits:  Health, Dental, Vision, 401(k), PTO 

Key Responsibilities 
Financial Leadership & Strategy 

• Serve as the primary financial partner to the CEO, providing insight, guidance, and recommendations to support business decisions 
• Lead financial planning, budgeting, forecasting, and long-term projections across all entities 
• Translate financial data into actionable insights for leadership 

Accounting & Financial Operations 

• Oversee all accounting functions, including GL, AP/AR, payroll, month-end close, and financial reporting 
• Ensure accuracy, compliance, and scalability of financial processes 
• Manage and optimize QuickBooks and Paycom environments 

• Oversee and optimize revenue-cycle processes related to PHP/IOP programs 
• Ensure accurate financial tracking aligned with healthcare billing structures 
• Partner with operations to address any revenue-cycle inefficiencies or risks 

Growth & Scaling 

• Design and implement financial processes to support rapid expansion, including new locations and entities 
• Prepare the organization for future complexity, audits, and potential financing events 
• Support integration and financial oversight of ABA therapy operations (highly preferred) 

Leadership & Ownership 

• Lead with confidence, initiative, and accountability—this role is expected to proactively drive outcomes, not wait for direction 
• Act as a culture carrier with a growth mindset and high execution standards 
• Build toward a future CFO role as the organization continues to scale 

Qualifications 

• 4+ years of Controller or senior accounting experience within behavioral healthcare 
• Direct experience supporting PHP and/or IOP programs (must-have) 
• Strong background in budgeting, forecasting, and financial modeling 
• Experience managing multi-entity financial structures 
• Proficiency with QuickBooks and payroll systems (Paycom preferred) 
• Ability to operate confidently in a fast-growing, entrepreneurial environment 

Highly Preferred 

• Experience in ABA therapy organizations 
• Strong understanding of the Massachusetts behavioral healthcare market 
• Prior experience scaling financial operations in a growing company 
• Clear trajectory toward CFO-level leadership 

 
Compensation  
The published salary range is used as a guide to provide prospective candidates with a level of compensation that is competitive with today’s market. The salary range for this position is a good faith estimate that allows for flexibility to align with various levels of experience, education, and performance.  

EEO Statement
Topaz HR is an Equal Opportunity Employer, and we do not discriminate on the basis of race, color, religion, gender, national origin, age, disability, or any other status protected by applicable law. We value and are committed to creating an inclusive environment for all employees.

Please Note:  Topaz HR is conducting this search on behalf of one of our clients. The employer's name will be disclosed during the interview process, and all hiring decisions will be made directly by the client.