Description: A growing healthcare services organization with risk-based insurance contracts is seeking a hands-on financial leader to take full ownership of its books and reporting as the company scales. This is a hands-on role combining day-to-day accounting work with high-level strategic oversight, ensuring precision, compliance, and profitability clarity across departments. Responsibilities: Perform and oversee hands-on accounting, including AP, reconciliations, and expense classification Review and sign off on high-value payments with full documentation and backup Ensure books are audit-ready and properly classified by department and expense Prepare and run detailed profitability reports, identifying revenue leaks and loss areas Track and analyze risk-based insurance contract performance Drive urgency on internal projects and reporting deadlines, and support performance management with HR Qualifications: Proven track record in a Controller or CFO role required Prior team management experience required Strong background in corporate finance, private equity, FP&A, or financial reporting CPA strongly preferred; exceptional non-CPA candidates with rigorous attention to detail considered Proficiency with QuickBooks and strong aptitude for AI/automation tools; Yiddish fluency a strong plus