Good Health Psychiatric Services is one of the leading psychiatric clinics in Brooklyn, providing trusted mental health care for over 15 years and serving 50,000+ patients. Our 35+ providers deliver expert medication management for patients in Brooklyn and across New York, along with therapy and treatment for a full range of mental health disorders. We are a top Spravato® (esketamine) provider in Brooklyn and a leading center for TMS therapy, specializing in treatment-resistant depression. We treat adults, adolescents, and children, offering care in multiple languages with same-day or next-day availability, both in our 26 Court Street office and through telehealth psychiatry statewide.

Industry: Medical Practices
Company Size: 51-200 employees

GOOD HEALTH PSYCHIATRIC SERVICES, PC

Savvy Admin PROD

**Location: ** Remote (U.S.)

**Schedule: ** Part-time / Fractional (10–20 hours per week)

**Compensation: ** Competitive hourly rate, commensurate with experience

**Reports to: ** Practice Administrator / Ownership

**Industry: ** Outpatient Healthcare / Behavioral Health

About UsGood Health Psychiatric Services is a multi-state outpatient mental health practice providing psychiatric medication management, therapy, and advanced treatments including TMS and Spravato®. We are in a growth phase, expanding service lines and provider teams, and are seeking a hands-on **Fractional Controller ** to professionalize our financial operations and support data-driven decision-making.

Role OverviewThe Fractional Controller will serve as the **internal financial lead **, responsible for owning month-end close, overseeing payroll and benefits processes, ensuring financial accuracy, and delivering meaningful financial analysis to leadership. This role is **hands-on initially **, with a transition toward oversight, analysis, and strategic support as systems mature.

This is not a bookkeeping role. The ideal candidate can both **do ** and **analyze **.

Key ResponsibilitiesFinancial Operations & Close

- Own and manage the **monthly close process **

- Maintain accurate general ledger and reconciliations

- Prepare monthly financial statements (P&L, balance sheet, cash flow)

- Ensure books are clean, consistent, and audit-ready

- Coordinate with external CPA as needed

Payroll, Benefits & HR Finance

- Oversee payroll processing in coordination with payroll provider

- Review payroll for accuracy (provider rates, bonuses, deductions)

- Oversee **PTO accruals and tracking **

- Manage and oversee **401(k) plan administration **, including:

- census data

- employer match

- coordination with plan provider and CPA

- Support benefits-related financial reporting

Accounts Payable & Expense Oversight

- Review and approve bills and vendor payments

- Monitor operating expenses and flag anomalies

- Help implement controls and cost-management practices

- Initially assist with bill pay if needed, transitioning to oversight

Financial Analysis & Reporting

- Analyze and report on:

- revenue per provider

- revenue per visit

- payor mix

- no-show impact

- therapy vs medication management margins

- TMS vs Spravato profitability

- telehealth vs in-person margins

- Prepare **budget vs actual ** reports

- Provide clear, actionable insights to leadership

Growth & Strategic Support

- Build and maintain **financial projections and hiring models **

- Support expansion of new service lines (e.g., neuropsychology, IOP)

- Assist leadership with:

- bonus pool modeling

- staffing decisions

- long-term growth planning

- Translate financial data into operational recommendations

Required Qualifications

- 5+ years of progressive accounting / controller experience

- Strong experience with **QuickBooks (Online or Desktop) **

- Experience overseeing payroll, PTO, and benefits

- Ability to independently manage month-end close

- Strong analytical and communication skills

- Healthcare, behavioral health, or professional services experience preferred

- CPA or advanced accounting degree **preferred but not required **

Ideal Candidate Profile

- Comfortable working in a **hands-on, growing organization **

- Can operate independently without heavy supervision

- Able to explain financial concepts to non-financial leadership

- Organized, detail-oriented, and proactive

- Willing to start hands-on and evolve into a more strategic role

What Success Looks Like

- Clean, timely monthly financials

- Leadership has clear visibility into profitability and cash flow

- Financial decisions are data-driven, not reactive

- Scalable systems in place to support continued growth

Engagement Structure

- Part-time / fractional engagement (10–20 hours per week)

- Flexible schedule

- Long-term opportunity for the right candidate

Fractional Controller (Healthcare / Mental Health Practice)

SMB Team helps lawyers double their revenues, profits and personal free time through our innovative Law Firm Growth Acceleration Model. 

As of January 2024, we work with 438 of the fastest growing law firms in North America. On average, our clients grow their annual revenues by 81% per year. We're the only company that can prove that we doubled 86 of our clients revenues last year alone.

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Our best-in-class Fractional CFOs help you create a crystal clear financial plan for your firms’ profits and cash flows, so you can control your take-home income, net worth and the value of your practice.

Our mission is to have the biggest positive impact on the legal industry (and eventually other industries) through our 360-degree approach to growth.

By staying true to our core values, we strive to become one of the largest contributors to Small and Mid-sized Business (SMB) growth on the planet!

Want to be considered for our team of A-players? Apply Now.
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Industry: Business Consulting and Services
Company Size: 51-200 employees

SMB Team

Do you enjoy working with multiple clients at once? Do you like the idea of Fractional COO work but don't want the hassle of running a business?

SMB Team is seeking an internal, **FULL TIME HIRE **who can serve as part of our team of Fractional COOs to our portfolio of law firm owner clients. The ideal candidate will have a strong understanding of operational management (preferably within the legal industry) and the ability to provide strategic insights and guidance to improve operational performance and support growth. This is an excellent opportunity for a seasoned operations professional looking to make a significant impact in a dynamic, fast-paced environment.

Taking a consultative approach, our Fractional COO’s will help law firms get to the next level of the Lawyer Legacy Staircase by helping them build the team and processes necessary to allow them to have a self-managing firm.

Our Fractional COO program improves law firm's processes, boosts team performance, and helps implement best practices to keep operations smooth and profitable. They assist with hiring, delegating, and managing employees. Additionally, they guide law firms on scaling their practice, managing projects, and achieving long-term goals, all without the high cost of a full-time COO. A key part of our program is mentorship, where our experienced COOs share their knowledge and skills, ensuring lasting improvements and continued growth for our law firms.

**WHAT'S IN IT FOR YOU?**

An opportunity to be a part of the #1 Fastest Growing Legal Marketing & Coaching Company in the U.S.

BENEFITS – We pay for 75% of your Medical, Dental, Vision insurance for YOU and YOUR FAMILY.

☀️ FLEXIBLE VACATION TIME - We encourage you to take time to recharge so you can be your best here at work.

EDUCATION – Team member education and learning budget on courses, events and books.

FUN – Company activities, outings, and retreats.

INVESTMENTS – 401(k) with a 3% Match.

WORK STYLE – WFH or come to the office. The choice is yours!

The salary for this role is $125,000 - $135,000 annually depending on experience.

**Key Responsibilities**

- .Work with multiple law firms as a COO on a fractional basis, anywhere from 5-17 hours per month per firm by being the right-hand to the leadership of the firm.

- Provide advice and strategy input for clients on all aspects of their business.

- Develop and streamline processes.

- Assist in establishing reports and KPIs.

- Be an accountability partner, mentor, and knowledge sharer for the firms you are working with.

- Communicate the service to potential clients through sales.

- As needed, present and assist at workshops, events, and weekly sessions.

**Requirements**

- 10+ years experience in a leadership role having managed at least 3 direct reports and a total of at least 10 team members.

- 3+ years experience working at a law firm or working directly with a law firm in a coaching, consulting or fractional capacity.

- Must have created and managed operations for a company doing at least $5M in annual revenue and have experience managing the budget of that company.

- Must have proficient level skills in Google and Microsoft programs.

- Must be highly organized, adaptable, and a self starter.

- Must have the ability to advise on strategy based on operations, technology, and financials.

- Must have excellent communication skills (verbal and written.)

- Skilled in sales.

- Must be able to think outside the box and be an excellent problem solver.

- Familiarity with CRMs, CMS, intake software, and accounting software.

- Ability to travel as needed to clients and for Quarterly Workshops.

- EOS Integrator experience preferred.

**Benefits**

SMB Team is a rapidly-growing marketing agency and coaching business for lawyers. After four years of 300% year-over-year growth, we have quickly become one of the top brands in the legal industry.

Bottom Line: We change lives. Want proof? Read our Google My Business reviews.

The SMB Team is an Equal Opportunity Employer. The policy of The SMB Team is to extend opportunities to qualified applicants and employees on an equal basis regardless of an individual's race, color, gender, age, national origin, religion, citizenship status, marital status, sexual orientation, gender identity, transgender status, physical or mental disability, protected veteran status, genetic information, pregnancy, or any other categories protected by applicable federal, state or local laws.

The SMB Team is an Equal Opportunity Employer - Minority/Female/Disabled/Protected Veterans

Fractional COO (Full Time Role)

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