Director of Accounting/Controller

Abby CareSan Francisco, CA
Hybrid

About The Position

Abby Care is a tech-powered, family-first care platform dedicated to supporting family caregivers. The company aims to train and employ family caregivers so they can be paid for the care they provide at home. Abby Care is rapidly expanding and has partnered with leading insurance plans, healthcare providers, and community organizations, supported by mission-driven VCs. This role is for a hands-on, detail-oriented Director of Accounting / Controller to build and lead the accounting function. It is a Full-Time Hybrid position based in San Francisco, CA, reporting to the VP of Finance. The individual will be responsible for the integrity of financial reporting, establishing scalable processes and controls, and partnering with the leadership team on strategic and operational initiatives. The role requires a balance of technical accounting expertise and an operator mindset, with a focus on closing books, driving process improvements, and building scalable accounting structures. The ideal candidate is excited about joining a high-growth organization with a tangible human impact.

Requirements

  • 8–12+ years of accounting experience, with a mix of public accounting and in-house experience
  • BA/BS in Accounting or Business Adjacent program; CPA strongly preferred
  • Experience in high-growth and/or multi-entity environments
  • Strong knowledge of GAAP and financial statement preparation
  • Experience with audits and building processes from the ground up
  • Systems-oriented mindset (experience with systems such as Campfire, Rippling and Ramp strongly preferred)
  • Highly detail-oriented but able to operate at a strategic level
  • Someone who can operate at both the controller and builder level
  • Ethical decision maker that can push back at all levels of the organization
  • Comfortable in ambiguity and able to create structure where none exists
  • Strong ownership mentality—this person will “own the numbers and controls”
  • Willing to get into the weeds while building toward scale
  • Administrative experience in leading accounting and procurement systems (e.g. QBO, Campfire, RAMP, etc.)

Nice To Haves

  • Healthcare or regulated industry experience is a strong plus, but not required

Responsibilities

  • Own the end-to-end monthly, quarterly, and annual GAAP close for multiple entities, ensuring accuracy and consolidation of intercompany activity.
  • Optimize cash visibility and forecasting; partner on AR/collections strategy to manage long DSO cycles and utilize credit facilities effectively.
  • Lead the implementation and scaling of accounting systems (billing, expenses, ERP) to automate workflows and strengthen internal controls.
  • Serve as the subject matter expert on revenue recognition, cost allocation, and business combinations, including drafting formal audit memos.
  • Drive audit readiness and change management; manage relationships with external auditors, tax advisors, and regulatory bodies (including healthcare-specific compliance).
  • Build and mentor a high-performing accounting team, fostering a culture of accountability and continuous improvement.
  • Collaborate with Finance and Executive leadership on M&A diligence, board reporting, budget variance analysis, and margin optimization.

Benefits

  • Competitive compensation packages
  • Annual company performance bonus
  • Comprehensive health coverage (medical, dental, vision)
  • $0 deductible PPO option
  • Company-funded HSA
  • Employer-paid life and disability insurance
  • Generous paid time off
  • 10 paid company holidays
  • HSA contributions
  • Optional FSA
  • Commuter benefits
  • Full coverage of all 401(k) account fees
  • Paid parental leave
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