Controller

The Opportunity

We are building an AI-native, national healthcare network. As we scale through acquisitions, partnerships, and launch new markets, the complexity of our financial operations is increasing rapidly. This role sits at the center of that complexity: building the accounting infrastructure and systems that allow the business to scale with confidence.

This is not a traditional Controller role. This role reports to the CFO and is the senior most accounting position in the company. You will be responsible for stitching together a fragmented set of entities, revenue models, and workflows into a unified, high-quality financial system. You will partner deeply with operational and finance leaders across the organization to ensure our books reflect how the business actually runs—and enable faster, better decision-making.

What you’ll do

• Lead the integration of newly acquired healthcare service businesses, ranging in size from $1M–$100M revenue, into a unified accounting and reporting structure
• Lead the company through its first financial audit in 2026, including readiness, controls, and external auditor management
• Design and implement a unified multi‑entity consolidation and reporting model that can scale from today’s footprint to 2–3x the current number of entities and states, inclusive of inter-company transactions.
• Transition the organization from cash to accrual accounting where appropriate across entities and revenue streams (FFS, capitation, PMPM, grants, etc.)
• Standardize the chart of accounts, entity structure, and dimensionality (e.g., service line, market, payer, provider) to enable clear visibility into unit economics and contribution margins.
• Own the accounting systems architecture across the group (ERP, subledgers, payroll, T&E, banking, and billing/RCM), ensuring clean data flow and a single source of truth for financial reporting.
• Own and reduce the monthly close timeline (currently ~20 days) through process, systems, and team improvements
• Drive the transition to a modern ERP system (e.g., Rillet), including implementation, migration, and integration with billing, capitation, and operational systems
• Build and manage core accounting functions, including AP, payroll, treasury, expense management, and tax, overseeing and developing a team of ~10 while remaining hands-on
• Partner closely with revenue cycle management (RCM) and billing teams to ensure accurate revenue recognition, cash reconciliation, and alignment between operational and financial reporting
• Partner with FP&A, operations, and market leaders to ensure financial reporting reflects business reality across entities and geographies
• Ensure compliance with healthcare‑specific regulatory and reporting requirements (e.g., state health departments, payor contracts, risk‑bearing entity reporting) in partnership with Legal and Compliance.
• Oversee tax and regulatory filings at the entity level (in coordination with external advisors), including multi‑state considerations and any risk‑bearing or provider‑group requirements.
• Lead and mentor a geographically dispersed accounting team through a period of significant change, raising the bar on technical skills, ownership, and process discipline.
• Build a culture of documentation and continuous improvement, including developing SOPs, checklists, and playbooks for recurring processes (close, reconciliations, A/P, payroll, etc.).

Who you are

• 10+ years of accounting experience, including experience as a Controller (or equivalent) in a healthcare services organization
• Direct experience in a roll-up or multi-entity environment, ideally integrating acquired businesses into a centralized accounting function
• Deep familiarity with healthcare revenue models, including fee-for-service billing, capitation/PMPM, delegated or global risk arrangements, and other value-based care structures
• Proven track record of improving close timelines, implementing systems, and upgrading accounting infrastructure in a high-growth environment
• Experience implementing modern ERP systems and building scalable accounting processes from the ground up
• Strong technical accounting foundation, with the ability to navigate complexity across entities, states, and revenue streams
• A proactive communicator who builds strong cross-functional relationships—understanding that high-quality accounting requires deep partnership with operations
• Hands-on and detail-oriented, but equally capable of stepping back to design systems that scale
• Comfortable operating in ambiguity and building structure in a fast-moving environment
• Own the accounting systems architecture across the group (ERP, subledgers, payroll, T&E, banking, and billing/RCM), ensuring clean data flow and a single source of truth for financial reporting.
• Standardize the chart of accounts, entity structure, and dimensionality (e.g., service line, market, payer, provider) to enable clear visibility into unit economics and contribution margins.
• Comfort working with modern tools and data environments (e.g., cloud ERP, embedded analytics/BI, workflow tools) and partnering with engineering or data teams to improve data quality.
• Deep experience designing or re‑designing chart of accounts and reporting structures for multi‑entity, multi‑state healthcare or services businesses.
• Experience navigating healthcare regulatory and payor environments (e.g., delegated risk, MSOs, provider groups, or health plans), and understanding how operational nuances translate into revenue and accruals.
• Prior exposure to risk‑bearing entities or value‑based care arrangements is strongly preferred.

Benefits 

• Stock-options package
• Health benefits include medical, dental and vision
• 401K
• Long-term disability
• Unlimited PTO
• Life insurance
• Paid Leave Program

Salary range 230000 - 250000 USD