Controller

Counsel Health•Boston, MA

44d

About The Position

About the role Counsel Health is seeking a meticulous and strategic Controller to serve as the backbone of our financial operations. We need a finance leader who can balance rigorous accounting standards with the agility required in a fast-paced, venture-backed environment. You will own the entirety of Counsel’s financial ecosystem. This includes building out our internal accounting infrastructure, managing the month-end close, and ensuring our financial reporting provides the clarity needed to scale our impact on patient care. You aren't just "keeping the books"; you are designing the financial engine that allows our team to thrive. What You’ll Do Financial Architecture: Design, implement, and manage all accounting policies and internal controls to ensure GAAP compliance and data integrity. The Monthly Rhythm: Lead the month-end, quarter-end, and year-end closing processes, delivering timely and accurate financial statements to the executive team. Operational Finance: Manage all day-to-day finance functions, including accounts payable/receivable, payroll, tax compliance, and treasury management. Audit & Compliance: Serve as the primary point of contact for external auditors and tax professionals, ensuring seamless annual audits and regulatory filings. Strategic Partnership: Collaborate with the CEO and operations leads to translate financial data into actionable insights, helping to refine our unit economics as we scale. Systems Optimization: Select and implement scalable financial software and ERP tools to automate manual workflows and reduce "time to close."

Requirements

Experience: 10+ years of progressive accounting experience, with at least 4 years in a Controller or Assistant Controller role—ideally within a high-growth startup or the healthcare sector.
Technical Mastery: Deep expertise in US GAAP and a proven track record of managing complex financial operations.
The Startup Mindset: You are comfortable with ambiguity and "rolling up your sleeves" to build processes from scratch rather than just following an existing manual.
Attention to Detail: An uncompromising eye for accuracy; you believe that the "small things" in a ledger represent the health of the entire mission.
Communication: The ability to explain complex financial concepts to non-finance stakeholders, including our clinical and engineering teams.

Nice To Haves

CPA Certification: Active CPA license is strongly preferred.
Healthcare Experience: Familiarity with value-based care models, medical billing nuances, or healthcare-specific regulatory environments.
Tool Kit: Experience with modern "fin-tech" stacks (e.g., NetSuite, Rippling, Brex, or Bill.com ).
Big 4 Background: Early career experience at a top-tier accounting firm.

Responsibilities

Design, implement, and manage all accounting policies and internal controls to ensure GAAP compliance and data integrity.
Lead the month-end, quarter-end, and year-end closing processes, delivering timely and accurate financial statements to the executive team.
Manage all day-to-day finance functions, including accounts payable/receivable, payroll, tax compliance, and treasury management.
Serve as the primary point of contact for external auditors and tax professionals, ensuring seamless annual audits and regulatory filings.
Collaborate with the CEO and operations leads to translate financial data into actionable insights, helping to refine our unit economics as we scale.
Select and implement scalable financial software and ERP tools to automate manual workflows and reduce "time to close."