# Financial Controller

**Company:** [Ambience Healthcare](https://hotfix.jobs/companies/ambience-healthcare)
**Location:** San Francisco, CA
**Role:** Finance & Accounting
**Salary:** $190k – $215k/yr
**Experience:** 8+ years
**Skills:** U.S. Gaap, ASC 606, Asc 842, External Audit, Internal Controls, Revenue Recognition, Tax Compliance, Treasury Operations, NetSuite, ERP
**Posted:** 2026-06-18

> 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.

## Job Description

## 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.

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