US Healthcare Controller - Clinical Laboratory

Innovative Health Diagnostics (IHDLab)

About IHDLab

Innovative Health Diagnostics (IHDLab) is a U.S.-based, high-complexity clinical laboratory headquartered in Irvine, California. We provide diagnostic testing across women's health and fertility, molecular diagnostics, infectious disease, chemistry, hematology, pathology, cytology, and other specialized laboratory services.

We are seeking an experienced Controller based in the Philippines to become a key member of our U.S. finance organization.

This is a senior, hands-on accounting role requiring strong expertise in U.S. GAAP, month-end close, QuickBooks Online, financial reporting, cash management, and internal controls.

A CPA designation is strongly preferred (Philippine CPA accepted). Given the complexity and level of responsibility associated with this position, we are seeking a professional with the technical accounting knowledge, sound judgment, and leadership capabilities expected of a senior financial controller.

This is not a bookkeeping or routine accounting position. We are looking for someone capable of independently taking ownership of the accounting function, resolving complex financial issues, and working directly with U.S.-based executive leadership.

Key ResponsibilitiesAccounting Operations and Financial Reporting

• Own the monthly, quarterly, and annual accounting close.
• Prepare accurate P&L, balance sheet, and cash-flow reporting.
• Maintain the general ledger and ensure transactions are properly classified and supported.
• Prepare and review balance-sheet reconciliations, accruals, prepaid expenses, fixed assets, and other accounting schedules.
• Ensure accounting practices and financial statements comply with U.S. GAAP.
• Independently assess appropriate revenue recognition, receivable valuation, and other complex accounting matters.
• Resolve accounting discrepancies and substantiate financial results to executive leadership, auditors, and other stakeholders.
• Reconcile bank accounts, cash receipts, accounts receivable, and accounts payable.

Healthcare Revenue and Financial Controls

• Work closely with our U.S. Revenue Cycle Management team to reconcile healthcare billing, collections, and accounting records.
• Analyze healthcare collections, AR aging, contractual adjustments, write-offs, and payer activity.
• Ensure accurate recognition of healthcare revenue and valuation of accounts receivable.
• Maintain accurate AP aging and vendor balances.
• Review vendor statements and investigate discrepancies.
• Prepare weekly cash requirements and short-term cash-flow forecasts for executive leadership.
• Establish, strengthen, and enforce purchasing, payment, and financial approval controls.

Financial Analysis and Strategic Support

• Improve accounting for laboratory reagents, supplies, inventory, and reference-laboratory expenses.
• Assist in developing service-line, customer, and patient-service-center profitability reporting.
• Prepare budgets, forecasts, and budget-to-actual variance analysis.
• Produce monthly management reporting and financial KPIs.
• Identify unusual financial trends, investigate root causes, and recommend corrective actions.
• Present financial findings and recommendations directly to the CEO, CFO, and other executive stakeholders.

Compliance, Process Improvement, and Leadership

• Support U.S. CPAs, auditors, tax advisors, and other outside financial professionals.
• Develop and maintain accounting SOPs, close checklists, and internal controls.
• Identify opportunities to automate accounting, reconciliations, and financial reporting.
• Ensure financial records are complete, accurate, properly documented, and audit-ready.
• Help develop and supervise additional accounting resources as the finance organization grows.

Required Qualifications

• Bachelor's degree in Accounting, Finance, or a related field.
• 7+ years of progressive accounting experience , including substantial responsibility for financial reporting and accounting operations.
• Previous experience as a Controller, Assistant Controller, Accounting Manager, Finance Manager, or similar senior accounting professional.
• Significant experience working with or supporting U.S.-based companies .
• Strong technical knowledge of U.S. GAAP , including revenue recognition, accrual accounting, receivable valuation, and financial-statement preparation.
• Demonstrated experience independently managing a complete month-end close.
• Strong financial-statement preparation and balance-sheet reconciliation skills.
• Ability to independently evaluate complex accounting matters, identify risks, and determine appropriate accounting treatment.
• Experience with AP, AR, cash-flow forecasting, and financial controls.
• Strong QuickBooks Online experience.
• Advanced Microsoft Excel skills.
• Excellent written and spoken English.
• Strong analytical, problem-solving, and decision-making skills.
• Ability to communicate financial information clearly and professionally to U.S.-based executives.
• Ability to work independently and take ownership of financial issues from identification through resolution.
• Ability and willingness to work a schedule substantially aligned with U.S. Pacific Time .

Highly Preferred Qualifications

• Certified Public Accountant (CPA) designation, including Philippine CPA licensure.
• Experience serving as a Controller or senior accounting leader with direct ownership of accounting policies, financial reporting, and internal controls.
• Experience supporting a U.S. healthcare organization.
• Clinical laboratory, diagnostics, pathology, medical practice, or healthcare-services experience.
• Healthcare Revenue Cycle Management (RCM) experience.
• Experience reconciling medical billing and collections to the general ledger.
• Understanding of healthcare accounts receivable, revenue recognition, and contractual adjustments.
• Inventory or cost-accounting experience.
• Experience supporting a U.S. company with $10M+ in annual revenue.
• Experience working directly with CEOs, CFOs, Controllers, or other senior U.S. executives.

Who We Are Looking For

We want a hands-on, technically proficient Controller who can independently manage complex accounting responsibilities rather than simply review work prepared by others.

The ideal candidate can apply accounting principles to determine the appropriate treatment of transactions, establish reliable financial processes, and take responsibility for the accuracy and completeness of financial reporting.

If an account does not reconcile, you investigate it and resolve the discrepancy.

If collections do not match the general ledger, you determine why and ensure the appropriate accounting treatment.

If revenue recognition or receivable valuation requires professional judgment, you assess the relevant information and make a technically sound recommendation.

If a vendor balance appears incorrect, you trace the transactions and resolve the issue.

If leadership needs a cash forecast, you prepare one supported by reliable financial data and reasonable assumptions.

If the CEO, CFO, or auditors question a financial figure, you can explain and substantiate it.

You should be comfortable moving between detailed accounting work and higher-level financial analysis, with the confidence and technical expertise to take ownership of the company's accounting function.

What Success Looks Like

The successful Controller will help IHDLab establish:

• A disciplined and predictable monthly close.
• Accurate, timely, and U.S. GAAP-compliant financial statements.
• Fully reconciled balance-sheet accounts.
• Appropriate revenue recognition and reliable receivable valuation.
• Accurate reconciliation between healthcare collections and accounting records.
• Accurate AP and vendor balances.
• Clear weekly cash visibility.
• Better laboratory cost and profitability reporting.
• Stronger internal financial controls.
• Documented and consistently enforced accounting processes.
• Audit-ready financial records and supporting schedules.
• Financial information management can confidently rely on for business decisions.

Work Arrangement

This is a 100% remote position based in the Philippines supporting a U.S.-based company .

Candidates must have a reliable home-office environment, stable high-speed internet, and the ability to work hours substantially aligned with IHDLab's California-based team.

Pay: Php160,000.00 - Php220,000.00 per month

Application Question(s):

• Are you a Philippine CPA?
• Do you have U.S. healthcare, medical billing, RCM or clinical laboratory experience?
• Are you comfortable working U.S. Pacific Time hours?
• What is your expected monthly compensation in PHP?

Experience:

• direct U.S.-based companies: 3 years (Required)
• QuickBooks Online: 3 years (Required)
• Direct month-end close : 5 years (Required)
• Total progressive accounting: 7 years (Required)

Work Location: Remote