Controller

Overview

This role provides day-to-day ownership of accounting operations, financial close, and the compliance framework. Reporting directly to the CFO, you will manage internal accounting resources, oversee external audit and tax partners, and help build scalable financial systems to support rapid multi-state expansion and payor relationships.

Location: Remote (work from anywhere in the United States)

Employment: Full-time (40 hours per week)

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.

Work authorization requirement: Candidates must be currently authorized to work in the United States on a full-time basis and physically reside within the US. No visa sponsorship is offered for this role.

Responsibilities

• Accounting operations & close: Own monthly, quarterly, and year-end close processes; deliver GAAP-compliant consolidated financials efficiently.
• Multi-entity & MSA governance: Oversee intercompany accounting, allocations, and cash transfers across clinical and management entities in strict accordance with MSAs.
• Revenue recognition: Refine and maintain ASC 606 revenue policies for commercial health plan contracts and cash-pay patients.
• Controls, audit & tax: Lead annual external audit; coordinate multi-state tax compliance (income, sales, franchise, excise); design scalable internal controls.
• Risk & corporate governance: Manage annual corporate insurance programs (general liability, medical malpractice, cyber, D&O) and oversee equity/stock administration.
• Team leadership: Mentor, manage, and scale the internal accounting and accounts payable team; direct specialized third-party consultants.

Requirements

• CPA: Active CPA required.
• Education: Bachelor’s or Master’s in Accounting or Finance.
• Experience: 7+ years of progressive experience, ideally combining early public accounting training with high-growth operating experience.
• Leadership: 5+ years of direct experience building, mentoring, and holding accounting teams accountable to tight close SLAs.
• Technical depth: Strong mastery of US GAAP, multi-entity consolidations, intercompany accounting, and ASC 606 revenue recognition.
• Preferred domain exposure: Prior exposure to healthcare, MSOs, or complex clinical payor models is strongly preferred.
• Systems fluency: Hands-on experience operating within NetSuite, Bill.com, Tropic, Expensify, Carta, and Google Workspace.
• Remote operating agility: Highly organized, self-directed builder comfortable designing processes from scratch and managing competing priorities in a fast-paced virtual environment.

Preferred Qualifications

• Prior experience with healthcare accounting involving MSAs, intercompany fund flows, and complex revenue recognition across commercial payors and self-pay populations.

Compensation & Benefits

• Discretionary PTO + 8.5 days of additional sick time + 10 paid holidays
• 100% Remote role—work from anywhere in the United States
• Employee Assistance Program through Magellan Health
• 100% employer-paid medical, dental, and vision insurance
• Paid parental leave
• Employer paid STD & LTD
• 401k
• $50 monthly Remote Work Stipend
• Access to LinkedIn Learning
• All equipment provided

Location

Remote (United States). Candidates must be authorized to work in the United States on a full-time basis and physically reside within the US.