Controller

Controller Job Description

About United Aesthetics Alliance

At United Aesthetics Alliance (UAA), we partner with leading plastic surgery practices and med spas to build exceptional brands, elevate patient experience, and drive long-term growth.

We believe the future of aesthetics sits at the intersection of beauty, wellness, healthcare, hospitality, and consumer experience. Across our growing portfolio of practices, we are committed to preserving the unique identity and reputation of each brand while providing the strategic support, infrastructure, and expertise needed to help practices scale thoughtfully and successfully.

Led by Amy Shecter and backed by Varsity Healthcare Partners, UAA is building a next-generation aesthetics platform grounded in clinical excellence, modern marketing, operational sophistication, and meaningful patient connection.

Today, our portfolio includes:

• 11 plastic surgeons

• 60+ med spa providers

• 9 locations nationwide and growing

• Multiple top-performing med spas and surgical practices in their markets

• Newly launched de novo locations as part of our continued expansion

Our practices are known for delivering exceptional patient outcomes, elevated experiences, and strong local brand loyalty, and we are just getting started.

Position Summary

We are seeking an experienced Controller to own the day-to-day accounting operations for UAA’s multi-entity, multi-state platform. This is a hands-on leadership role in a lean, high-performing finance & accounting team. You will report directly to the CFO and serve as the accounting backbone of the company, ensuring the numbers are accurate, timely, and actionable.

The right person loves building clean, scalable accounting processes and takes deep pride in the accuracy of the financial statements. You are operationally oriented, organized, and understand the nuances of multi-entity healthcare accounting. You are comfortable working across multiple EMRs and practice management systems, and you know how to drive close processes that actually close on time. You’re excited about system implementations and scaling a multi-entity business.

This role will require occasional travel across practice locations.

Key Responsibilities

Month-End Close & Financial Statements

• Own and drive the monthly close process across all practice entities and the corporate holding company, targeting a close within 5–7 business days
• Prepare and review consolidated and entity-level financial statements with full balance sheet integrity
• Maintain the general ledger, chart of accounts, and intercompany eliminations across multiple legal entities
• Prepare the monthly MD&A financial package in coordination with the CFO

Accounts Payable, Receivable & Payroll

• Oversee AP, AR, and payroll processes across all locations, ensuring accuracy, timeliness, and compliance
• Manage vendor relationships, approval workflows, and payment runs
• Partner with practice administrators on revenue cycle integrity and collection follow-through
• Ensure payroll is processed accurately and on time across multiple states, in coordination with HR

Internal Controls & Compliance

• Design, document, and enforce accounting policies, procedures, and internal controls appropriate for a growing PE-backed healthcare platform
• Manage multi-state sales tax, use tax, and other indirect tax obligations
• Coordinate with external auditors, tax preparers, and Varsity Healthcare Partners on annual audit and tax filings
• Ensure accounting treatment is consistent with GAAP and appropriate for the healthcare services industry

M&A & Integration Support

• Support financial diligence on acquisition targets, including historical financial normalization and working capital analysis
• Lead accounting integration of newly acquired practices into the UAA chart of accounts and close process
• Build and track financial models for de novo locations through the ramp period

Systems & Process Improvement

• Own the accounting system(s) and drive improvements in reporting, automation, and data accuracy
• Evaluate and implement tools that reduce manual work and improve close speed and reliability
• Standardize accounting processes across practices as the platform scales

Additional Information

• Full-time, remote position

Education

Bachelor's degree in Accounting required; CPA strongly preferred

Experience

7+ years of progressive accounting experience; 2+ years in a Controller or Senior Accounting Manager role

Industry

Multi-entity healthcare services strongly preferred; medical aesthetics, physician practice management, or ambulatory surgery center experience a significant plus

PE Background

Experience supporting PE-backed companies, including audit coordination, sponsor reporting, and tight close timelines preferred

M&A Experience

Experience with acquisition accounting, purchase price allocation, and post-close integration helpful