Controller
Local Infusion
Location
Nashville, TN, Remote
Employment Type
Full time
Location Type
Remote
Department
Corporate Operations
About Local Infusion
Local Infusion is the fastest growing, venture-backed multi-site infusion business, expanding from 4 to 40 clinics in just 18 months and transforming how care is delivered to patients with chronic autoimmune diseases on specialty infusion medications. With locations in New Hampshire, Maine, Connecticut, Virginia, Maryland, Ohio, Massachusetts, and New Jersey—and more on the way—Local Infusion delivers a differentiated care model focused on patient experience, technology, and clinical integration.
Through a blend of patient-centered design and a people-first team culture, Local Infusion puts the “local feel” of community, comfort, and connection back into the patient and provider experience. Our time to treat is 4x faster than the industry average, and our patient Net Promoter Score (NPS) is 97%.
We’ve raised $39M to date, including a $25M Series B led by Transformation Capital in May 2025. We're leading the digital transformation of infusion therapy because patients deserve better.
Our Values
Ownership – Take initiative, be accountable, and care about the outcome
Excellence – Do what it takes to raise the bar and lead by example
Curious & Inquisitive – Always seek to learn and understand the "why"
Find a Way – Face challenges with persistence and creativity
It’s a Marathon, Not a Sprint – Commit to long-term impact and sustained effort
About the Role
The Controller will serve as the primary leader of the accounting function, partnering closely with the SVP of Finance and Strategic Finance Director. In the near term, this role will manage the relationship with our outsourced accounting team and ensure accuracy and timeliness of our monthly close, internal reporting, and compliance processes. Over time, the Controller will transition ownership of the accounting function internally — building a scalable team, implementing processes, and upgrading systems to support the company's rapid expansion.
This is a hands-on, high-visibility role requiring a mix of technical accounting expertise, operational acumen, and leadership capability.
Primary Responsibilities
Serve as the primary point of contact for the outsourced accounting team, reviewing and approving monthly close deliverables including journal entries, accruals, reconciliations, inventory roll-forwards, and revenue recognition under ASC 606.
Ensure compliance with US GAAP and internal policies, and maintain a strong internal control environment.
Partner with the Strategic Finance Director to deliver timely and accurate financials, variance analyses, and KPIs for management and board reporting.
Identify gaps or inefficiencies in current workflows and design scalable processes and documentation to support a growing, multi-entity organization.
Recruit, train, and lead an internal accounting team as the company transitions accounting operations in-house, fostering a culture of accuracy, accountability, and continuous improvement.
Oversee systems infrastructure including Sage Intacct (or future ERP) and implement process automation tools for AP, expense management, and reconciliations.
Manage external audits, tax filings, and compliance requirements, serving as the main liaison with auditors and external advisors.
Support M&A transactions, new site launches, and other strategic initiatives through accurate financial due diligence, integration planning, and post-close accounting.
Continuously improve close cycle timing, reporting quality, and working capital management, ultimately taking full ownership of the accounting function.
Qualifications
Bachelor's degree in Accounting, CPA strongly preferred
Strong knowledge of US GAAP, revenue recognition (ASC 606), and multi-entity consolidations.
Experience in healthcare services, multi-site operations, or VC/PE-backed companies a plus.
Proven success in building teams, transitioning from outsourced to in-house accounting, and improving close processes.
Hands-on ERP experience (Sage Intacct preferred) and comfort with Excel/BI tools (e.g., Velixo, Sigma).
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Excellent communication skills with ability to work cross-functionally and present to executive leadership.