Controller

Qualified Health PBC•Palo Alto, CA

5d•Hybrid

About The Position

Qualified Health is an AI native company focused on transforming healthcare with Generative AI. They are building their internal operations intentionally and seeking a startup-focused Controller. This role is crucial for owning the integrity of the financial close, the accuracy of financial actuals, and the infrastructure that ensures trustworthy and useful numbers for leadership, investors, and auditors. The position requires a blend of GAAP fundamentals, strategic instincts, and a builder's mindset, aiming to create lean, durable, and scalable financial infrastructure. The Controller will be responsible for administrative tasks, strategically deciding what to do by hand, automate, or skip.

Requirements

6–10 years (or equivalent) in accounting or controllership
Ideally including time at a high-growth startup
Foundation in public accounting or audit
CPA strongly preferred
Mastery of GAAP fundamentals, applied in our context
Knowledge of what it takes to stay compliant as we scale, including what can wait without harming compliance or safety
Deep familiarity with ASC 606 in a SaaS or recurring revenue context
Experience building for diligence before (venture, strategic, or audit)
Ability to design processes that are as light as the work allows, document them so they survive you, and resist complexity that doesn't earn its keep
Collaborative and transparent
Proactive communication when something is off
Trusted partner to FP&A and the business

Nice To Haves

Bonus if you've worked through the accounting implications of variable or performance-based compensation structures

Responsibilities

Own the monthly and quarterly close process end-to-end: fast, clean, and built to get faster and cleaner over time
Treasury management: banking, runway, and cash controls
Maintain GAAP-compliant financial statements with the depth and documentation to hold up under audit, investor diligence, or similar
Ensure leaders have specific financial information in a clear, accessible format
Own revenue recognition, with experience in SaaS
Run employee payroll (semi-monthly exempt workforce) in partnership with People Ops
Handle vendor and contractor payments as well as cash impacts of employee payroll such as accruals, employer tax, etc
Maintain and manage our “actuals” infrastructure including Brex and expense reconciliation
Partner with the Head of FP&A to create a tight feedback loop between forecasts and actuals, treating variance as a useful learning opportunity, but also raising risks effectively as needed
Lead relationships with external auditors, tax advisors, and accounting firms to make tax time and expected filings smooth and easy
Support board reporting and investor diligence with well-organized, clearly documented financials that tell a coherent story
Evaluate and maintain accounting systems and tooling; make deliberate choices about what to build, what to buy, and what to leave alone for now