Fractional Healthcare Controller / Senior Accountant (Remote – WA Preferred)

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Job Overview Join a mission-driven healthcare group focused on recovery and results.Coast Injury Medicine and Coast Imaging MRI are trusted names in rehabilitation and diagnostic imaging, with 5 physiatry clinics and 3 MRI centers across the region. We specialize in motor vehicle accident and work-related injury care, supported by a dedicated team of 80+ professionals. To learn more about us please visit us at are currently seeking a Fractional Healthcare Controller or Senior Accountant to help us analyze our financial performance, uncover areas of loss or inefficiency, and build a structure for scalable financial growth. This is a remote, part-time, or project-based role—ideal for a detail-oriented financial professional with experience in medical or healthcare finance.Duties• Review and analyze financial statements across all clinics and MRI centers• Identify areas of financial inefficiency, potential losses, or discrepancies• Develop improved financial processes, controls, and reporting systems• Create financial dashboards or KPIs to help leadership make data-driven decisions• Work with leadership to align financial strategy with business growth goals• Provide insights into cost management, revenue streams, and profit margins• Collaborate with external accountants, billing, and internal administrative staffRequirements• 5+ years of experience in healthcare or medical accounting/finance• Strong background in financial analysis, forecasting, and reporting• Experience with multi-entity operations or multi-location practices preferred• Familiar with QuickBooks, Excel, and healthcare billing systems• Self-starter, detail-oriented, and comfortable working independently• CPA or equivalent designation preferred but not required• Based in Washington State or able to work PST hours preferredWhat We Offer:• Flexible schedule: part-time or project-based role• Opportunity to make a real impact on a growing healthcare business• Collaborative leadership team open to innovation and structure• Remote work with potential for long-term engagementIf you are passionate about accounting and eager to contribute to a growing organization, we encourage you to apply for this exciting opportunity.Job Types: Full-time, Part-time, ContractPay: $60.00 - $100.00 per hourExpected hours: 15 – 40 per weekBenefits:• 401(k)• 401(k) matching• Dental insurance• Flexible schedule• Health insurance• Paid time off• Vision insuranceWork Location: Remote

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