The Market Controller is responsible for overseeing the financial performance, reporting, budgeting, and operational financial management of multiple primary care clinics within an assigned market.

This position serves as a strategic business partner between the Accounting and Operations departments, ensuring financial accuracy, operational accountability, and consistent financial performance across all clinic locations.

The Market Controller will work closely with market leadership, clinic managers, and corporate accounting to monitor revenue, expenses, labor productivity, provider performance, and overall clinic profitability. The position will identify financial and operational trends, develop strategies to improve performance, and ensure that financial processes and internal controls are consistently followed across all locations.

Works Closely With: Accounting, Market Operations, Regional Directors, Practice Managers, Executive Leadership and Shared Services Leaders

Key Responsibilities

Financial Management & Reporting

• Oversee the financial performance of all assigned primary care clinic locations.
• Review and analyze monthly financial statements, including profit and loss statements, balance sheets, and cash flow reporting.
• Monitor revenue, operating expenses, labor costs, and clinic-level profitability.
• Analyze financial variances against budget, forecast, and prior-year performance.
• Identify financial risks, trends, and opportunities for improvement.
• Ensure proper allocation of expenses and shared services across clinic locations.
• Support month-end and year-end close processes.

Operational Financial Partnership

• Partner with COO and Regional Operations leadership to improve clinic financial performance and alignment to budget and forecast
• Work directly with Practice Managers to monitor financial and operational KPIs.
• Evaluate clinic staffing models, labor utilization, overtime, and productivity.
• Monitor provider productivity, patient volumes, visit trends, and revenue performance.
• Identify opportunities to improve clinic efficiency while maintaining quality patient care.
• Collaborate with Operations to develop and implement action plans for underperforming clinics.
• Support operational decision-making through financial analysis and business recommendations.
• Participate in regular market performance meetings with clinic and regional leadership.

Budgeting & Forecasting

• Lead the development and monitoring of annual clinic operating budgets.
• Prepare monthly financial forecasts based on patient volumes, provider schedules, staffing, and operating trends.
• Partner with Operations to establish realistic financial goals and performance expectations.
• Monitor budget performance and communicate significant variances.
• Develop financial models to evaluate new providers, staffing changes, clinic expansion, and operational initiatives.
• Assist leadership with financial planning and strategic business decisions.

Accounting Oversight & Internal Controls

• Partner with corporate Accounting to ensure accurate general ledger activity and financial reporting.
• Monitor accounts payable, accounts receivable, payroll expenses, and clinic-level financial transactions.
• Ensure expenses are properly coded and allocated to the appropriate clinic locations.
• Review purchasing practices and expense management across the market.
• Support compliance with company accounting policies and internal control procedures.
• Ensure timely submission of financial information from individual clinic locations.

Revenue Cycle & Financial Performance

• Partner with Revenue Cycle Management to monitor clinic revenue performance.
• Review revenue trends, collections, adjustments, denials, and accounts receivable.
• Monitor charge capture and identify potential revenue leakage.
• Evaluate financial impacts related to payer mix, reimbursement trends, and patient volume.
• Work with Operations and Revenue Cycle teams to address billing and collection challenges.
• Monitor key revenue cycle indicators and communicate opportunities for improvement.

KPI Development & Performance Management

Develop and maintain financial and operational dashboards to monitor performance across the market.

Key performance indicators may include:

• Net patient revenue by clinic.
• Operating expenses and operating margin.
• Labor expense as a percentage of revenue.
• Provider productivity and revenue per provider.
• Patient visits per day and per provider.
• Revenue per patient encounter.
• Staffing levels and labor utilization.
• Accounts receivable and days in AR.
• Collection rates and denial trends.
• Clinic-level EBITDA or operating contribution.
• Budget-to-actual financial performance.

Qualifications

Education:

• Bachelor's degree in Accounting, Finance, Business Administration, or related field required.
• CPA, CMA, MBA, or other relevant advanced certification preferred.

Experience:

• 5–7+ years of progressive experience in accounting, finance, financial management, or healthcare operations.
• Experience managing financial performance across multiple clinic locations strongly preferred.
• Healthcare, physician practice management, or primary care experience preferred.
• Experience with budgeting, forecasting, financial reporting, and variance analysis.
• Experience partnering with operational leaders and non-financial stakeholders.
• Knowledge of healthcare revenue cycle processes and physician practice financial metrics.

Required Skills & Competencies

• Strong financial analysis and accounting knowledge.
• Ability to interpret financial results and translate them into operational recommendations.
• Strong understanding of multi-site business operations.
• Excellent communication and relationship-building skills.
• Ability to influence and partner with Operations and Accounting leadership.
• Strong organizational and project management skills.
• Advanced Excel and financial reporting capabilities.
• Experience with accounting systems, ERP platforms, and business intelligence tools.
• Ability to manage competing priorities across multiple clinic locations.
• Strong problem-solving and process improvement capabilities.