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ICG MedicalIM

Financial Controller

ICG Medical is a leading global healthcare recruitment company specializing in placing nurses, midwives, and healthcare workers across hospitals, care homes, and community services worldwide.

ICG Medical

Employee count: 201-500

Salary: 110k-130k USD

United States only

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Role:- Financial Controller

Location: Remote Based in Texas

Salary - $110,000 - $130,000

Job Purpose:

We are seeking an experienced and detail-oriented Financial Controller to manage and optimize the financial operations of our healthcare staffing organization. This role oversees financial reporting, budgeting, payroll accuracy, CM (Contribution Margin) analysis, and compliance. The ideal candidate has a strong accounting background, experience with high-volume staffing payroll, and the ability to provide strategic financial insights that support organizational growth. The Controller partners closely with operations, payroll, recruiting, and executive leadership to drive profitability and sustainable growth.

Key responsibilities:

Financial Management & Reporting

  • Oversee all accounting functions, including AP, AR, GL management, billing, and revenue recognition.
  • Prepare timely and accurate monthly reports in accordance with GAAP.
  • Develop, analyze, and maintain financial forecasting and reporting dashboards.
  • Deliver weekly Contribution Margin (CM) reports, including insight into bill rates, pay rates, MSP fees, and profitability by client and division.
  • Implement strong financial controls, policies, and procedures.
  • Ensure accurate, timely customer invoices and collections.

Budgeting & Forecasting

  • Lead quarterly budget development in collaboration with executive leadership and department heads.
  • Track budget vs. actuals and provide variance analyses with recommendations for corrective actions.

Payroll & Financial Operations

  • Oversee weekly payroll reporting for high-volume healthcare staffing operations to ensure accuracy, timeliness, and compliance.
  • Audit payroll processes, timesheets, and clinician hours to minimize errors and ensure client-specific billing alignment.
  • Coordinate closely with the payroll and operations teams to reconcile payroll costs with billing and CM reporting.

Cash Flow & Working Capital

  • Manage cash flow forecasting, banking relationships, and working capital strategies.
  • Oversee AR aging, collections performance, and credit risk analysis.

Compliance & Audit

  • oversee workers’ compensation (WC) policy administration and business insurance requirements.
  • Ensure compliance with GAAP, IRS regulations, DOL rules, and healthcare staffing industry requirements.
  • Prepare documentation and lead external audits and tax filings.
  • Maintain financial records, payroll documentation, and vendor contracts in accordance with regulatory standards.

Strategic Finance & Leadership

  • Partner with operations, HR, sales, and compliance teams to support staffing workflows and margin optimization.
  • Supervise, mentor, and develop offshore accounting and payroll staff.

Education & Experience

  • Bachelor’s degree in accounting, Finance, or related field required; CPA or MBA preferred.
  • 5–10+ years of progressive financial/accounting experience, with at least 2 years in a senior or controller-level role.
  • Healthcare staffing or staffing industry experience strongly preferred.
  • Experience with VMS/MSP platforms and high-volume payroll systems is a plus.

Skills & Competencies

  • Advanced proficiency in Excel and financial/accounting software (NetSuite, QuickBooks, Sage Intacct, etc.).
  • Strong analytical, budgeting, and reporting skills, especially in CM and payroll reporting.
  • Exceptional attention to detail and problem-solving capabilities.
  • Ability to thrive in a fast-paced, data-driven staffing environment.

Benefits

· Full-time Remote

  • Competitive salary + performance-based bonus
  • Health, dental, and vision coverage & 401K

· PTO and paid holidays

Join us at ICG Medical and play a pivotal role in shaping the future of healthcare staffing. If you are a strategic thinker, results-oriented leader, and passionate about making a positive impact in the healthcare industry, we want to hear from you! Apply now to be considered for this exciting opportunity.

About the job

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Posted on

Job type

Full Time

Experience level

Salary

Salary: 110k-130k USD

Education

Bachelor degree

Experience

5 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About ICG Medical

Learn more about ICG Medical and their company culture.

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ICG Medical is a leading global healthcare recruiter with a focus on nurses across all specialties, midwives, and home care/healthcare workers. The company brings together expertise in both healthcare staffing solutions and healthcare service delivery, enabling them to support the full spectrum of workforce and patient care needs.

The business operates as a diverse portfolio of companies under the ICG Medical umbrella, each delivering tailored solutions for candidates, clients, and healthcare partners. From offices in the UK, Ireland, India, South Africa, China, Philippines, Japan, Australia, Canada, the USA, and Mexico, ICG Medical covers all aspects of healthcare recruitment and services. The company's vision is to improve patient care, guided by core values of Open, Family, and Passion. ICG Medical has established itself as a trusted partner for healthcare organisations seeking to enhance patient care through strategic workforce solutions.

Employee benefits

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Retirement Plans

Retirement savings and pension options

Health Insurance

Health insurance benefits for employees

Flexible Working Hours

Flexible working arrangements for eligible positions

Learning and Development

Training programs and professional development opportunities

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ICG Medical

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