Controller - April 2026

Zócalo Health

18h • $190,000 - $210,000 • Remote

About The Position

Zócalo Health is hiring a Controller to join during a period of rapid growth and increasing operational complexity. This is a critical leadership role responsible for building and owning the company’s accounting foundation, ensuring audit readiness, and partnering closely with executive leadership as we scale.
The Controller will own the end-to-end accounting function, establish scalable systems and controls, and lead the company through its first annual audit. This role will play a key part in strengthening financial infrastructure, improving visibility, and supporting strategic decision-making.
This position reports to the Senior Vice President of Finance.
The Controller will contribute in the following ways:

Requirements

• 10+ years of progressive accounting experience, with at least 3+ years in a Controller or senior accounting leadership role
• Experience operating in a high-growth, early-stage company environment
• Strong knowledge of GAAP and experience preparing companies for audit
• Bachelor’s degree in Accounting or Finance; CPA strongly preferred
• Experience managing external audits and working with auditors
• Proficiency with accounting systems (e.g., NetSuite, QuickBooks), expense platforms (e.g., Ramp, Bill.com), and advanced Excel
• Familiarity with payroll and HRIS systems (e.g., Rippling, TriNet)
• Experience with multi-state compliance and tax considerations
• Strong cross-functional collaboration skills and ability to partner with executive leadership
• Ownership mindset with a focus on building, improving, and scaling systems and processes

Nice To Haves

• Experience leading a company through its first annual audit
• Experience in healthcare, managed care, or revenue cycle management environments
• Experience implementing NetSuite, QuickBooks, or similar ERP systems

Responsibilities

• Own and lead the full accounting function, including AR/AP, general ledger, close, and financial reporting
• Lead the month-end and year-end close processes, delivering accurate, timely, and board-ready financials
• Prepare the company for and lead the first annual audit, including auditor coordination, documentation, and process readiness
• Design, implement, and enforce internal controls, accounting policies, and procedures to ensure GAAP compliance and audit readiness
• Partner cross-functionally with Finance and RCM on budgeting, forecasting, revenue recognition, and cash management
• Select, implement, and optimize accounting systems and tools to support scale
• Build scalable, automated processes to support a high-growth, fast-paced operating environment
• Own technical accounting matters, including revenue recognition and complex transactions as the business evolves

Benefits

• Equity compensation package
• Comprehensive benefits including medical, dental, and vision
• 401k
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level