Healthcare Controller Job in San Antonio, TX for a Physician-Owned Practice
Published on: Apr 24, 2026
Frontline Source Group is recruiting a direct hire Healthcare Controller for a privately held, physician-owned healthcare organization in San Antonio, Texas. As the senior-most finance professional, the Controller owns full-cycle accounting, financial reporting, payroll oversight, HR compliance, and internal controls, partnering with ownership and operations leadership. It requires eight plus years of progressive accounting and finance experience. Every direct hire is backed by our 5-Year Placement Warranty.
Frontline Source Group has completed 5,619 plus placements with a 98.94% placement retention rate and holds a 5.0-star Trustpilot rating across 683 plus reviews. We are a Forbes Best Professional Recruiting Firm for 9 consecutive years (2018 to 2026, ranked number 158 in 2026), Forbes Best Executive Recruiting Firms number 148 (2026), a 9-time ClearlyRated Best of Staffing winner for both Client and Talent satisfaction, a ClearlyRated Diamond Award recipient, an Inc. 5000 honoree, and an Expertise.com Best Staffing Agency. The firm is a member of the American Staffing Association.
What is the Healthcare Controller role in San Antonio?
This is a direct hire Healthcare Controller position in San Antonio, Texas, at a privately held, physician-owned healthcare organization. It is a hands-on, broad-scope finance leadership role that oversees full-cycle accounting, financial reporting, payroll oversight, HR compliance, internal controls, vendor and insurance management, and ad hoc strategic financial support, operating as the senior-most finance professional in partnership with operations leadership and ownership.
Who is the hiring organization for this Controller role?
The hiring organization is a privately held, physician-owned healthcare practice based in San Antonio, Texas. It is a stable, profitable practice with consistent performance, a lean team structure, and a highly collaborative, non-hierarchical culture. It is an established, well-run operation with consistent ownership-level engagement, so the Controller works closely and directly with the owners.
What are the key responsibilities of this Healthcare Controller position?
Core responsibilities include overseeing full-cycle accounting operations including general ledger, month-end close, and financial reporting, preparing quarterly financial packages and supporting ownership-level reporting and decision-making, building and maintaining financial models and forecasts including scenario analysis, managing cash flow, distributions, and financial planning aligned with the ownership structure, reviewing and approving payroll processing, providing oversight of HR-related financial compliance and benefits administration, maintaining and strengthening internal controls and financial procedures, reviewing contracts and agreements and coordinating with external advisors, partnering with operations leadership on new initiatives and cost considerations, overseeing insurance programs and vendor relationships, reconciling data across systems, and supporting ownership with ad hoc financial analysis and strategic input.
What background and experience does the Controller role require?
The role requires eight or more years of progressive accounting and finance experience, ideally in small to mid-sized organizations where individuals wear multiple hats, a strong foundation in financial reporting, general ledger, and full-cycle accounting, demonstrated ability to build and maintain complex financial models in Excel, experience managing or overseeing payroll, compliance, and financial controls, exposure to contracts, vendor agreements, and legal or insurance coordination, and a bachelor's degree in Accounting, Finance, or a related field. A CPA or CPA-track is preferred but not required.
Is healthcare industry experience required for this Controller role?
No. Healthcare or similarly regulated industry experience is helpful but not required. Experience supporting ownership groups, boards, or closely held businesses is valued, as is familiarity with systems such as QuickBooks Desktop or similar platforms. The practice is looking for a hands-on, detail-oriented finance leader who is comfortable operating independently and can balance execution with strategic thinking.
Is this Healthcare Controller position remote, hybrid, or in-office?
This is an in-office position based in San Antonio, Texas, with some schedule flexibility. The role is designed for a finance leader who wants close, day-to-day partnership with ownership and operations leadership in a collaborative, non-hierarchical environment, with the opportunity to identify efficiencies and improve processes over time.
What are the features and benefits of this Controller position?
The client offers a base salary plus bonus and merit increases, health insurance, a 401(k) with profit sharing, and an annual professional business expense budget. This is a stable, direct hire leadership opportunity with a profitable, physician-owned practice, and it is backed by the Frontline Source Group 5-Year Placement Warranty.
How do you apply for the Healthcare Controller job in San Antonio?
You can apply for this Healthcare Controller position through our secure application process at frontlinesourcegroup.com/how-to-apply.html. A Frontline Source Group recruiter reviews every application and reaches out directly to qualified candidates to start the conversation.
Who is Frontline Source Group and why work with our accounting and finance team?
Frontline Source Group is a nationwide professional staffing and executive search firm founded in Dallas in 2004, now operating 32 plus offices. We place accounting and finance leadership including controllers, CFOs, directors of finance, and senior accountants across Texas and nationwide. You can learn more about our accounting and finance practice at frontlinesourcegroup.com/accounting-finance.html and our executive search practice at frontlinesourcegroup.com/executive-search-c-level.html.
What makes Frontline Source Group different from other San Antonio staffing agencies?
Three things set us apart. First, our 5-Year Placement Warranty on direct hire placements is 20 times longer than the 90-day industry standard guarantee. Second, our 98.94% placement retention rate substantially exceeds the industry average of roughly 70 percent. Third, we operate with transparent, published pricing, which is rare in staffing, so employers know the engagement model up front at frontlinesourcegroup.com/pricing.html.
How do employers hire finance leadership through Frontline Source Group?
Employers can submit a hiring request at frontlinesourcegroup.com/employer-request-form.html. Our accounting and finance recruiters build a shortlist of pre-screened controllers, CFOs, and finance leaders matched to your organization, culture, and market. Every direct hire is backed by our 5-Year Placement Warranty, detailed at frontlinesourcegroup.com/5year-placement-guarantee.html.
Where is this Healthcare Controller job located?
This Healthcare Controller position is located in San Antonio, Texas. It is an in-office role with some schedule flexibility at a privately held, physician-owned healthcare practice.
Is this position direct hire, contract, or contract-to-hire?
This is a direct hire, full-time position. As a direct hire placement, it is backed by the Frontline Source Group 5-Year Placement Warranty, which is 20 times longer than the 90-day industry standard guarantee.
What kind of healthcare organization is this?
The employer is a privately held, physician-owned healthcare organization in San Antonio, Texas. It is a stable, profitable practice with a lean team structure and a collaborative, non-hierarchical culture with consistent ownership-level engagement.
How is this Controller role different from a corporate or hospital-system Controller?
This is a hands-on, broad-scope role at a lean, physician-owned practice rather than a layered corporate or hospital-system finance department. The Controller wears multiple hats across accounting, payroll, HR compliance, and strategy, working directly with ownership rather than through a large hierarchy.
How many years of experience are required?
The role requires eight or more years of progressive accounting and finance experience, ideally in small to mid-sized organizations where individuals wear multiple hats, with a strong foundation in full-cycle accounting and financial reporting.
Is a CPA required?
No. A CPA or CPA-track is preferred but not required. The practice prioritizes a strong hands-on accounting and finance background, financial modeling ability in Excel, and experience overseeing payroll, compliance, and financial controls.
Is healthcare industry experience required?
No. Healthcare or similarly regulated industry experience is helpful but not required. Experience supporting ownership groups, boards, or closely held businesses is valued for this role.
What software experience is helpful?
Demonstrated ability to build and maintain complex financial models in Excel is required. Familiarity with systems such as QuickBooks Desktop or similar accounting platforms is helpful for this role.
Is this position remote, hybrid, or in-office?
This is an in-office position in San Antonio, Texas, with some schedule flexibility. The role is built for close, day-to-day partnership with ownership and operations leadership.
What is the compensation structure?
The client offers a base salary plus bonus and merit increases, health insurance, a 401(k) with profit sharing, and an annual professional business expense budget. Specific compensation details are shared with qualified candidates during the process.
What is the 5-Year Placement Warranty?
The 5-Year Placement Warranty backs every direct hire placement for five years, which is 20 times longer than the 90-day industry standard guarantee. Full details are available at frontlinesourcegroup.com/5year-placement-guarantee.html.
How do I apply for this Healthcare Controller role?
Apply through our secure application process at frontlinesourcegroup.com/how-to-apply.html. A Frontline Source Group recruiter reviews every application and contacts qualified candidates directly.
