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Salary: USD 125,000 - 140,000 / annual
FamilyWell, a Series A venture-backed healthcare company focused on women's mental health, is seeking an experienced Controller to lead and own the company's accounting operations and financial infrastructure as it scales nationally. Reporting to the Chief Financial Officer, you will be responsible for the integrity of financial records, timely and accurate monthly close, tax compliance, and internal controls that support a growing healthcare organization.
Key Responsibilities:
Accounting Operations & Financial Close: Own full-cycle accounting including general ledger management, accounts payable/receivable, payroll accounting, and revenue recognition. Lead monthly, quarterly, and annual close processes ensuring accurate financial statements in accordance with GAAP. Prepare and review journal entries, account reconciliations, and supporting schedules. Maintain and improve the chart of accounts, accounting policies, and close procedures as the company scales. Partner with RCM and clinical operations teams on revenue and accounts receivable accounting across payers.
Tax & Compliance: Manage federal, state, and local tax compliance including income tax, sales/use tax, and payroll tax filings, working with external tax advisors. Oversee preparation and filing of annual tax returns and quarterly estimates. Monitor multi-state tax and regulatory obligations relevant to a distributed, multi-state healthcare workforce. Ensure compliance with 1099/W-2 filings and statutory reporting. Stay current on accounting and tax regulatory changes.
Internal Controls, Audit & Risk: Design, implement, and maintain internal controls to safeguard assets and ensure accurate financial reporting. Serve as primary contact for external audits, tax reviews, and financial due diligence. Identify and mitigate financial and operational risk.
Financial Reporting & Planning Support: Deliver accurate, timely monthly financial statements and management reporting packages to leadership and the Board. Partner with the CFO on budgeting, forecasting, and cash flow management. Provide financial analysis and ad hoc reporting to support strategic decision-making.
Team Leadership: Build, manage, and mentor accounting staff and/or outsourced accounting resources as the team scales. Partner cross-functionally with RCM, People/HR, Technology, and Operations. Evaluate and implement accounting systems and tools to improve efficiency and reporting.
Requirements:
Required: Bachelor's degree in Accounting, Finance, or related field. 7+ years of progressive accounting experience, including full-cycle accounting and tax, with at least 2–3 years in a Controller or senior accounting leadership role. Strong working knowledge of GAAP, multi-state tax compliance, and internal controls. Demonstrated experience managing the monthly close process and producing accurate, timely financial statements. Excellent analytical, organizational, and communication skills with ability to translate complex financial information for non-finance stakeholders. Comfortable operating with significant autonomy in a remote, fast-paced start-up environment.
Strongly Preferred: Experience in healthcare, behavioral health, or venture-backed start-up environment. Prior experience preparing for or supporting an audit, due diligence process, or institutional fundraising round. Experience building or scaling an accounting function and/or team. CPA or qualifications to complete CPA (preferred but not required).