Controller

Location: Everett, MA; hybrid

20/20 Onsite is a leading healthcare services company, focused on mobile and on-site delivery of eye care. Since 2014, our Mobile Vision Clinics have provided eye care to over 75,000 patients at their workplaces, schools and neighborhoods. In May 2020, we expanded our services to provide vital access to clinical trial assessments and tests, bringing uniquely equipped Mobile Clinics directly to participants.

Our focus is “radical patient-centricity”, prioritizing the patient experience, minimizing time and distance barriers. By building relationships with pharmaceutical companies, CROs, and trial sites, we are driving the shift towards decentralized and hybrid clinical trials that put the patient at the heart of the clinical research process.

Our delivery model and platform are proven to transform patient experience, reduce friction, increase convenience, and produce high levels of patient engagement and satisfaction with services offered. 20/20 Onsite acts as a natural partner for Life Sciences entities who can realize numerous benefits from our model including accelerated enrollment, improved adherence of timelines and budgets and enhanced trial data consistency and quality.

20/20 Onsite services have become instrumental in advancing drug therapy development and distribution, chronic disease management, and essential patient health care in the sponsored communities the company serves. Our established client base is highly satisfied with our services, shows indications of follow on business opportunities, and in almost every case represents a major growth opportunity for our company.

The Opportunity

We are seeking an experienced Controller with strong finance expertise to oversee, manage, and grow the financial operations of 20/20 Onsite, supporting US-based clients. Reporting to our Fractional CFO, this role will play a key part in shaping the company’s financial strategy, providing insights, forecasts, and analysis that drive operational performance and business growth. The Controller will directly manage the Accounting team, ensuring accuracy, compliance, and efficiency across all reporting, while also leading budgeting, forecasting, and financial planning activities. This is an exciting opportunity for a finance leader to build and manage the finance function at a rapidly growing, leading Life Sciences company.

This is a hybrid position, two days per week at our Everett, MA headquarters.

Key Responsibilities

Financial Reporting & Compliance

• Prepare and present monthly, quarterly, and annual financial statements and operational reports.
• Ensure compliance with US GAAP, federal/state regulations, and healthcare-specific requirements.
• Coordinate and manage external audits to ensure timely and accurate reporting.

Accounting Operations & Team Leadership

• Oversee and manage the Accounting team, including month-end close activities, accounts payable, accounts receivable.
• Oversee vendor payments, supply chain-related financial processes, and vehicle/medical equipment expenditures.
• Evaluate, improve, and maintain financial systems, reporting processes, internal controls, and accounting policies.
• Mentor and develop accounting staff, fostering accountability and continuous improvement.

Strategic Finance & Business Partnership

• Manage financial planning, budgeting, and forecasting, aligning projections with operational priorities and strategic goals
• Use financial models, KPIs, and ROI analysis to guide decision-making, optimize costs, and support growth initiatives.
• Partner with operational teams to analyze costs and margins, optimize service delivery, and improve profitability.
• Act as a strategic finance partner to leadership, translating financial data into actionable insights for new business opportunities and expansion.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required.
• 7–10 years of progressive Accounting experience.
• 3 years in a management role and at a revenue generating organization.
• Strong technical knowledge of US GAAP and financial reporting requirements.
• Life Sciences (Clinical Research, Pharma, Biotech) industry experience is strongly preferred.
• Proficiency in financial/accounting systems (QuickBooks, NetSuite, or similar), advanced Excel and financial modeling skills.
• Demonstrated ability to deliver both tactical accounting accuracy and strategic financial insights.
• Strong leadership, analytical, organizational, and interpersonal skills.
• Ability to thrive in a fast-paced, mission-driven environment.