Controller

We’ve been retained on a search for the first in-house Controller at a rapidly scaling AI healthcare technology company based in New York City.

Scroll down the page to see all associated job requirements, and any responsibilities successful candidates can expect.
The business is tackling one of the largest inefficiencies in U.S. healthcare, using AI to help major health plans identify fraud, waste, overbilling and unnecessary medical spend. The company has already generated $120M+ in savings for customers, recently raised a $55M Series B, and has secured partnerships with some of the largest health plans in the country.
The business 4x’d revenue in 2025 and is entering another significant stage of growth, with major new enterprise implementations already signed and a substantial pipeline of additional national and regional health plans.
This is a unique opportunity to join at exactly the right time. Accounting has historically been managed through outsourced partners, and the company is now looking for its first dedicated accounting leader to build the function from the ground up.
Reporting directly to the VP Finance, this person will have genuine 0→1 ownership: selecting the company’s first ERP, choosing its auditors, preparing for its first external audit, building scalable accounting processes and eventually growing the team underneath them.
Why this role is exciting:True 0→1 ownership: Become the company’s first in-house accounting leader and build the function from scratchMajor career-building projects: Select and implement a new ERP, choose the company’s auditors and lead its first external auditExceptional company momentum: Recently raised a $55M Series B with significant capital still on the balance sheet and 2+ years of runwayProven commercial traction: The platform has already generated $120M+ of measurable savings for customersHuge market opportunity: Operating within a massive healthcare category already supporting multiple multi-billion-dollar incumbentsEnterprise customer base: Working with some of the largest health plans in the U.S., with additional major implementations already signedStrong underlying economics: A combination of highly attractive services economics and high-margin AI software revenuePerfect entry point: Join before the next major stage of scale, increasing accounting complexity and potential future financingLeadership exposure: Work directly with senior leadership in a lean organization where finance has significant visibility and influenceBuild a team: Initially own the function hands-on, with the opportunity to add accounting resources as the company continues to scale
Key Responsibilities:Own the company’s end-to-end accounting function and transition ownership away from outsourced providersLead month-end and year-end close, reconciliations, AP/AR, payroll and GAAP financial reportingLead preparation for the company’s first external audit and manage the ongoing relationship with external auditorsEvaluate, select and implement the company’s next ERP, transitioning away from QuickBooksBuild scalable accounting policies, processes, controls and reporting infrastructureOwn revenue recognition across enterprise software and services contractsPartner closely xzbcwsv with Finance, RevOps, Sales and other teams on contracts, billing and accounting-related decisionsManage external tax, accounting and compliance partnersHelp build the accounting organization as transaction volume and business complexity increase
What We’re Looking For:Approximately 8–12 years of progressive accounting experienceCPA strongly preferredFoundation in public accounting, ideally including Big 4 experienceExperience within B2B SaaS/software businesses, particularly enterprise revenue recognitionExperience operating within a high-growth startup or technology companyStrong understanding of ASC 606, deferred revenue and complex enterprise contractsIdeally experienced with audits and ERP implementations from either the company or audit sideComfortable operating as a hands-on individual contributor before building a larger teamSomeone who can operate independently without requiring significant oversightCommercial, collaborative and comfortable working cross-functionally in a fast-moving environment