Controller / Director of Accounting

Arine • San Francisco, CA

10h • Hybrid

About The Position

Based in San Francisco, Arine is a rapidly growing healthcare technology and clinical services company with a mission to ensure individuals receive the safest and most effective treatments for their unique and evolving healthcare needs.
Frequently, medications cause more harm than good. Incorrect drugs and doses costs the US healthcare system over $528 billion in waste, avoidable harm, and hospitalizations each year. Arine is redefining what excellent healthcare looks like by solving these issues through our software platform (SaaS). We combine cutting edge data science, machine learning, AI, and deep clinical expertise to introduce a patient-centric view to medication management, and develop and deliver personalized care plans on a massive scale for patients and their care teams.
Arine is committed to improving the lives and health of complex patients that have an outsized impact on healthcare costs and have traditionally been difficult to identify and address. These patients face numerous challenges including complicated prescribing issues across multiple medications and providers, medication challenges with many chronic diseases, and patient issues with access to care. Backed by leading healthcare investors and collaborating with top healthcare organizations and providers, we deliver recommendations and facilitate clinical interventions that lead to significant, measurable health improvements for patients and cost savings for customers.
Why is Arine a Great Place to Work?:
Outstanding Team and Culture - Our shared mission unites and motivates us to do our best work. We have a relentless passion and commitment to the innovation required to be the market leader in medication intelligence.
Making a Proven Difference in Healthcare - We are saving patient lives, and enabling individuals to experience improved health outcomes, including significant reductions in hospitalizations and cost of care.
Market Opportunity - Arine is backed by leading healthcare investors and was founded to tackle one of the largest healthcare problems today. Non-optimized medications therapies which cost the US 275,000 lives and $528 billion annually.
Dramatic Growth - Arine is managing more than 18 million lives across prominent health plans after only 4 years in the market, and was ranked 236 on the 2024 Inc. 5000 list and was named the 5th fastest-growing company in the AI category.
The Role
Arine is looking for a Controller / Director of Accounting to own and scale the company's accounting operations. Reporting to the CFO, you will lead the accounting team and be responsible for financial reporting, month-end close, audit management, and compliance. This is a hands-on leadership role where you will both manage a team and get into the details as needed.
This is a high-impact opportunity to build the accounting foundation for a venture-backed, high-growth healthcare AI company. You will partner closely with FP&A, People Operations, and external advisors to ensure Arine's financial infrastructure supports its next stage of growth.

Requirements

• 10+ years of progressive accounting experience, including at least 3 years in a supervisory or management role
• CPA required
• Public accounting experience (Big 4 or national firm) strongly preferred
• Deep knowledge of US GAAP, including technical accounting areas such as revenue recognition (ASC 606), stock-based compensation (ASC 718), and lease accounting (ASC 842)
• Experience managing external audits from planning through completion
• Hands-on experience with NetSuite or comparable ERP systems
• Strong analytical skills with the ability to distill complex accounting issues into clear, actionable recommendations
• Comfortable leveraging AI (Claude, Gemini, etc.) to increase productivity
• Excellent written and verbal communication skills; you can explain technical accounting concepts to non-finance stakeholders
• Self-starter who thrives in a fast-paced, resource-constrained environment and is comfortable operating as both a leader and an individual contributor
• Ability to pass a background check
• Must live in and be eligible to work in the United States

Nice To Haves

• Prior experience at a venture-backed, high-growth technology or SaaS company preferred
• Healthcare industry experience is a plus but not required

Responsibilities

• Own the monthly close process, ensuring accurate and timely financial statements in accordance with US GAAP
• Ensure timely and accurate customer invoicing aligned to contract terms, revenue recognition under ASC 606, and monthly revenue forecasting
• Monitor cash position, manage cash flow forecasting, and oversee banking relationships
• Prepare and review journal entries, account reconciliations, and flux analyses
• Produce board-ready financial reporting packages and support investor and lender reporting requirements
• Manage technical accounting matters including ASC 606 (revenue recognition for SaaS contracts), ASC 718 (stock-based compensation), and ASC 842 (leases); support equity transaction accounting and cap table reconciliation
• Serve as the primary point of contact for external auditors and manage the annual audit process from planning through completion
• Coordinate with external tax advisors on federal and multi-state income tax filings, R&D tax credits, sales tax compliance, and payroll tax matters across all states where Arine operates
• Ensure compliance with all regulatory and statutory reporting requirements
• Own the accounting technology stack, including NetSuite (ERP), Rippling (payroll and expense management), Tipalti (AP), and supporting integrations
• Identify and implement process improvements and automation opportunities across the accounting function, in particular related to revenue recognition and forecasting in collaboration with FP&A
• Develop and maintain accounting policies and procedures that scale with the business
• Design, document, and maintain internal controls over financial reporting appropriate for a growth-stage company
• Manage and develop team members
• Set clear expectations, provide regular feedback, and invest in the professional growth of each team member
• Partner cross-functionally with FP&A, People Operations, Clinical Operations, and Client Success to support company initiatives

Benefits

• Joining Arine offers you a dynamic role and the opportunity to contribute to the company's growth and shape its future. You'll have unparalleled learning and growth prospects, collaborating closely with experienced Clinicians, Engineers, Software Architects, and Digital Health Entrepreneurs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 101-250 employees