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.
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
Senior FP&A Manager responsible for headcount budgeting/forecasting, compensation planning, benefits administration, and building financial models to inform strategy at a fast-growing healthcare technology company. Requires 6-10 years experience, strong modeling skills, and a bachelor's degree.
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