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Ambience HealthcareAmbience HealthcareSan Francisco, CA

Financial Controller

Own monthly close, external audit, accounting policies, tax compliance, and treasury for a high-growth AI healthcare startup. Requires 8+ years accounting experience with 2+ years as Controller/Assistant Controller at a venture-backed company, CPA, and deep U.S. GAAP expertise.

190k – 215k/yr
Hybrid8+ YOEFinance & Accounting

About the role

What you'll do

  • Own U.S. GAAP-compliant financial statements and the monthly close, bringing process in-house and making it scalable.
  • Own the annual external audit - preparation, execution, documentation, controls, and reconciliations - and serve as primary auditor liaison.
  • Establish core accounting policies: revenue recognition (ASC 606), expense management, capitalization, and lease accounting (ASC 842).
  • Own indirect tax compliance including multi-state SaaS nexus analysis, registration, and remittance. Manage the relationship with external tax advisors for federal and state income tax provision and filings.
  • Own treasury operations including cash management, disbursements, and bank relationships.
  • Evaluate and implement accounting systems and automation; streamline the end-to-end order-to-cash process with the deal desk.
  • Build and lead the accounting team, and manage the outsourced accounting partner (Attivo) for bookkeeping, review, and reconciliation.
  • Partner with finance and operations on variance analysis, pipeline-to-ARR tracking, and MD&A for leadership and the Board.
  • Partner with the VP Finance on financial strategy, reporting to the Board, and building the infrastructure to support Ambience's next phase of growth.
  • Collaborate cross-functionally with Legal, Deal Desk, People, and Product to ensure accounting treatment keeps pace with new contract structures, headcount growth, and product launches.

What you'll bring

  • 8+ years of progressive accounting experience, including at least 2 years in a Controller or Assistant Controller role at a high-growth or venture-backed company.
  • Deep U.S. GAAP expertise, including revenue recognition (ASC 606), stock-based compensation, and capitalization.
  • Demonstrated experience leading or supporting an external audit and standing up internal controls.
  • A track record building scalable close processes and selecting or implementing accounting systems.
  • Strong cross-functional communication; able to translate accounting into clear narratives for non-finance partners, leadership, and the Board.
  • CPA required. Big 4 or national firm public accounting experience strongly preferred.

Nice to have

  • Experience leading a company's annual audit at a venture-backed company (Series B-D).
  • Familiarity with NetSuite or a comparable ERP and modern close tooling.
  • Healthcare or SaaS revenue recognition experience.

Compensation and Benefits

  • Base compensation approximately $190,000 to $215,000 per year, excluding equity or bonus targets.
  • Comprehensive medical, dental, and vision coverage for you and your dependents.
  • 401(k) with a company match of up to 3% of base salary.
  • Remote-friendly culture (with a San Francisco HQ) and full equipment provisioning.
  • Parental leave.
  • Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered.
  • Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1.

Skills

U.S. GaapASC 606Asc 842External AuditInternal ControlsRevenue RecognitionTax ComplianceTreasury OperationsNetSuiteERP
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