Controller

Join 9amHealth as the Controller, the first dedicated in-house accounting leader. You will own the entire accounting function, including chart of accounts, month-end close, reporting, tax compliance, and audit readiness. You will work closely with the CFO and Director of FP&A, present to the board of directors, and manage relationships with external auditors and tax firms. This is an exciting opportunity to shape the accounting function of a growing startup in the healthcare technology space.

• Own the accounting function end-to-end, including chart of accounts, accounting principles, month-end close, reporting, tax compliance, and audit readiness.
• Drive the fastest AI-assisted close across AR, AP, payroll, GL, accruals, reconciliations, and intercompany, and set the cadence and the bar for the monthly close standard.
• Produce monthly, quarterly, and ad-hoc financial reports that become the trusted base layer for FP&A's forecasts and the company’s board narrative.
• 8–12 years of progressive accounting experience including 3+ years as a Controller, Assistant Controller, or Senior Manager at a high-growth company
• 409A and equity accounting - You have managed at least one 409A valuation cycle end-to-end and own ASC 718 stock comp accounting; working knowledge of Carta or an equivalent equity platform
• Demonstrated close and reporting automation - You're familiar with the toolset to enable a fast and well documented month-end close: tools like FloQast, BlackLine, Numeric or similar
• Player-coach mindset - Comfortable being hands-on in the GL one day and presenting to the board the next
• Tax compliance experience - Hands-on experience managing federal, state, and local tax filings, either directly or through an external tax firm, including sales / use tax, R&D credits, multi-state nexus, and payroll tax
• CPA (strongly preferred) - Equivalent depth of technical accounting expertise considered
• Crisp written communication - Your memos, schedules, and emails are clear, well-structured, and audit-ready on the first draft
• Genuine AI fluency - You use Claude, ChatGPT, or equivalents every day to draft memos, summarize variances, accelerate research, and build internal automations. You understand both the upside and the control implications of LLMs in finance
• Big 4 audit foundation - Deloitte, EY, KPMG, or PwC background strongly preferred
• Chart of accounts design experience - You have designed or rebuilt a COA at a previous company and can defend the design choices to both auditors and FP&A analysts
• Business-first mindset - You start from "what does the business need this to do?" and work backwards to the accounting. You have strong commercial intuition and partner naturally with non-finance leaders - your output makes them sharper, not slower
• Healthcare or health tech context preferred - Subscription / membership revenue, pharmacy economics, value-based care, or multi-state regulated services
• Hands-on ERP expertise - Sage Intacct or NetSuite - comfortable owning chart of accounts design, configuration, and integrations end-to-end
• Deep technical accounting fluency - You have led conclusions on ASC 606, ASC 842, and ASC 718; you can navigate a technical position with auditors and write the memo
• Experience leading an ERP migration or implementation
• Experience scaling an accounting team through an outsourced-to-insourced transition
• Familiarity with healthcare-specific revenue concepts (claims, capitation, value-based contracts)
• State / local nexus expertise in a multi-state healthcare or e-commerce business
• M&A, carve-out, or fundraising-diligence experience