VP Accounting / Corporate Controller

Financial Controller

Nimble Solutions, an Aquiline Capital Partners portfolio company, has over 20 years of specialized, surgical-focused revenue cycle management experience that spans across the ambulatory surgical center (ASC) industry and other affiliated services adjacent to the ASC space, such as anesthesia billing services, professional billing services, transcription services, and many others. We provide services in nearly every U.S. state, and our team of experts works around the globe, having managed over $10 billion in net collections as we continue to build and innovate a world-class organization with people like you.

Together, we embrace challenges, fuel innovation, and strive to exceed expectations.

Healthcare means a lot more to us. We care about creating an environment where our coworkers', clients', and communities' social, financial, and physical health is at the forefront of everything we do.

From our cutting-edge technology to our endless opportunities for growth, we are a community of people who care deeply about our employees and their futures. We look forward to your thirst for learning, developing, and growing with our team.

The Role

The Financial Controller will oversee all accounting and financial reporting functions to ensure accuracy, integrity, and compliance across the organization. This role is responsible for managing the accounting team, maintaining strong internal controls, and providing timely, actionable insights that support decision-making and growth, and requires a strong understanding of financial statements, tax laws, and accounting principles to guide strategic decisions and protect company assets. The VP of Accounting & Corporate Controller will serve as a critical finance leader responsible for both the tactical execution of accounting operations and the transformation of our finance function. This role combines deep technical accounting expertise with visionary leadership to modernize processes, scale infrastructure, and position finance as a strategic business partner. The ideal candidate will be equally comfortable rolling up their sleeves to solve complex accounting challenges and drive enterprise-wide initiatives that enhance financial capabilities and decision-making.

Responsibilities

Financial Management & Reporting Excellence

• Own end-to-end financial accounting operations, including general ledger, accounts payable, accounts receivable, payroll, and fixed assets
• Ensure accurate, timely preparation of monthly, quarterly, and annual financial statements in accordance with GAAP, with an eye toward technical complexity and audit-readiness
• Lead the monthly close process with rigor and discipline, establishing SLAs and KPIs that drive operational excellence, as well as delivering timely information to business leaders
• Design and implement robust internal control frameworks, accounting policies, and procedures that support growth and mitigate risk
• Establish sophisticated financial reporting capabilities that provide leadership with actionable insights and transparency into business performance
• Lead the company's AR collection process with customers, ensuring timely payment and implementing strategies to shorten payment cycle time

Strategic Planning & Financial Analysis

Compliance, Risk Management & Governance

Technology & Process Innovation

Team Leadership & Organizational Development

Cross-Functional Partnership

Requirements

Key Competencies :

Drives Results . Consistently achieves results, even under difficult circumstances; fosters a sense of urgency in the team for reaching goals and meeting deadlines; readily takes action on challenges, identifies, and seizes new opportunities; leads others to persist despite setbacks or obstacles; establishes clear responsibilities and processes for monitoring work and measuring results.

Communicates Effectively . Develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences. Provides timely and helpful information to others across the organization; encourages the open expression of diverse ideas and opinions; identifies situational cues and adapts personal, interpersonal, and leadership behaviors to fit.

Quality Decision-making . Makes sound decisions, even in the absence of complete information; considers all relevant factors and uses appropriate decision-making criteria and principles; shows courage in speaking up and driving appropriate decisions for the organization based on sound risk / reward analysis.

Customer Focus . Gains insight into customer needs; identifies opportunities that benefit the customer; builds and delivers messaging and solutions that meet customer expectations.

Location

On-site preferred (Chesterfield, MO); potentially open to remote / hybrid role