Role Description
As our Controller, you will take full ownership of our day-to-day accounting operations, financial close, and compliance framework. Reporting directly to the CFO, you will:
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Manage our internal accounting team.
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Direct external audit and tax partners.
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Build scalable financial systems to support our rapid multi-state expansion and payor relationships.
Location: Remote
Target Pay: $160,000-$205,000 + Bonus & Equity - Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
What makes this role unique:
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Mission-Driven Scale:
Your work directly supports an organization delivering life-saving clinical care to tens of thousands of individuals across the country.
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Complex Multi-Entity Architecture:
Navigate sophisticated healthcare accounting, including Management Services Agreements (MSAs), intercompany fund flows, and ASC 606 revenue recognition across both commercial payors and self-pay populations.
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Direct Line of Sight to the CFO:
Partner closely with executive leadership to establish financial governance, prepare for institutional growth rounds/public readiness, and shape the company’s operating discipline.
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A True Builder’s Mandate:
Run a modern, fully virtual financial stack (NetSuite, Tropic, Bill.com, Expensify, Carta) with the runway to automate workflows, eliminate manual friction, and compress our close cycle.
What you'll do:
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Accounting Operations & Close:
Own the monthly, quarterly, and year-end close processes; deliver GAAP-compliant consolidated financials efficiently.
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Multi-Entity & MSA Governance:
Oversee intercompany accounting, allocations, and cash transfers across our clinical and management entities in strict accordance with MSAs.
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Revenue Recognition:
Refine and maintain robust ASC 606 revenue policies for commercial health plan contracts and cash-pay patients.
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Controls, Audit & Tax:
Drive the annual external audit, coordinate multi-state tax compliance (income, sales, franchise, excise), and design scalable internal controls.
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Risk & Corporate Governance:
Manage annual corporate insurance programs (general liability, medical malpractice, cyber, D&O) and oversee equity/stock administration via Carta.
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Team Leadership:
Mentor, manage, and scale our internal accounting and accounts payable team while directing specialized third-party consultants.
Qualifications
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Active CPA required.
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Bachelor’s or Master’s in Accounting or Finance.
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7+ years of progressive experience, ideally combining early public accounting training with high-growth operating experience.
Requirements
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5+ years of direct experience building, mentoring, and holding accounting teams accountable to tight close SLAs.
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Mastery of US GAAP, multi-entity consolidations, intercompany accounting, and ASC 606 revenue recognition.
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Prior exposure to healthcare, MSOs, or complex clinical payor models is strongly preferred.
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Hands-on experience operating within NetSuite, Bill.com, Tropic, Expensify, Carta, and Google Workspace.
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Highly organized, self-directed builder comfortable designing processes from scratch and managing competing priorities in a fast-paced virtual environment.
Benefits
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Discretionary PTO + 8.5 days of additional sick time + 10 paid holidays.
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100% Remote role - work from anywhere in the United States.
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Employee Assistance Program through Magellan Health.
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100% Employer Paid Medical, Dental, and Vision Insurance.
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Paid parental leave.
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Employer Paid STD & LTD.
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401k.
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$50 monthly Remote Work Stipend.
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Access to LinkedIn Learning.
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All equipment provided.
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This is a full-time (40hrs per week) remote position.