Controller

Ilant Health

18d • Remote

About The Position

Ilant Health is a value-based healthcare provider focused on cardiometabolic
obesity, a group of interconnected conditions that drive over $700 billion in
annual U.S. healthcare expenses. We are dedicated to increasing access to
treatment while reducing the total cost of care for employers and payers. We are
not just a provider, we are a technology-enabled practice driven by analytics.
Our mission is to "de-average" care, using proprietary algorithms to match
Members with the right interventions at the right time, while establishing
habits that support treatment success and sustained outcomes. By combining
clinical rigor with a consumer-grade digital experience, we drive life-changing
outcomes and measurable ROI.

We serve as the single, integrated front door for comprehensive care, delivering
a full continuum of evidence-based solutions, spanning bariatric surgery,
pharmacotherapy, and intensive behavioral therapy. Crucially, we personalize
care for every Member through a dedicated multidisciplinary care team, empowered
by our advanced digital platform. This ecosystem includes specialized tools for
our providers and a fully accessible Member Portal (web and mobile) for our
Members.

We are hiring our first senior finance leader — a Controller who is equally
comfortable rolling up their sleeves and building the foundation of our finance
function.  This role is the foundation of Ilant’s financial and operational
infrastructure, and will report to the COO.

You will:

Ensure the business runs on accurate financial data

Create discipline in how money moves through the company

Build systems that scale with rapid growth

You will be joining a mission-oriented team at Series A startup delivering
AI-enabled, high-quality clinical cardiometabolic care. You’ll be highly
impactful with visibility across the company in an evolving but demanding role
that will enable you to operate with extreme ownership!

Requirements

• CPA required
• 6–10 years of experience in accounting + finance operations
• Experience at a “Big Four” accounting firm
• Deep ownership of monthly close
• Experience with complex billing / revenue flows
• Willingness to personally execute transactional work
• Experience managing external accountants or firms
• Strong systems and process orientation

Nice To Haves

• Startup experience
• Experience preparing for or leading an audit
• Exposure to FP&A or cash forecasting
• Experience with entity management or corporate compliance processes

Responsibilities

• Own all invoicing across employer and health plan contracts
• Manage complex billing structures (PPPM, Admin Fees, Passthrough Expenses, etc.)
• Drive AR collections and reduce DSO
• Oversee vendor payments and expense management, including bonus & commission payments
• Directly manage HRA reimbursements to members
• Own monthly close process end-to-end in Quickbooks
• Ensure GAAP-compliant financials
• Lead initial and following annual audits
• Build scalable workflows across billing, AP, and reimbursements
• Evaluate, implement and own tools (QuickBooks, Ramp, Bill.com, Carta, etc.)
• Support budgeting and forecasting
• Optimize credit card usage and manage cash movement
• Own corporate compliance calendar (franchise taxes, annual filings, foreign entity registrations)
• Partner with legal counsel on entity management and regulatory requirements
• Coordinate with PEO on payroll accuracy, benefits, and compliance

Benefits

• Fully remote environment – work from anywhere while maintaining meaningful collaboration with a distributed team
• Comprehensive health benefits – medical, dental, and vision coverage to support you and your family
• Paid time off – 2 weeks of PTO to rest, recharge, and take the time you need
• Flexible floating holiday – one additional day each year to celebrate what matters most to you
• Paid sick leave – 5 sick days so you can prioritize your health when needed
• 11 paid company holidays throughout the year
• 401(k) retirement plan to help you invest in your future
• Healthcare and Dependent Care FSA options for additional tax-advantaged savings

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed