Note: The job is a remote job and is open to candidates in USA. Ambience Healthcare is building an AI intelligence platform that enhances healthcare delivery while reducing administrative burdens. They are seeking a Controller to establish a scalable accounting function, manage financial statements, oversee audits, and partner with the VP Finance on financial strategy.

Responsibilities

• Own U.S. GAAP-compliant financial statements and the monthly close, bringing process in-house and making it scalable
• Own the annual external audit - preparation, execution, documentation, controls, and reconciliations - and serve as primary auditor liaison
• Establish core accounting policies: revenue recognition (ASC 606), expense management, capitalization, and lease accounting (ASC 842)
• Own indirect tax compliance including multi-state SaaS nexus analysis, registration, and remittance. Manage the relationship with external tax advisors for federal and state income tax provision and filings
• Own treasury operations including cash management, disbursements, and bank relationships
• Evaluate and implement accounting systems and automation; streamline the end-to-end order-to-cash process with the deal desk
• Build and lead the accounting team, and manage the outsourced accounting partner (Attivo) for bookkeeping, review, and reconciliation
• Partner with finance and operations on variance analysis, pipeline-to-ARR tracking, and MD&A for leadership and the Board
• Partner with the VP Finance on financial strategy, reporting to the Board, and building the infrastructure to support Ambience's next phase of growth
• Collaborate cross-functionally with Legal, Deal Desk, People, and Product to ensure accounting treatment keeps pace with new contract structures, headcount growth, and product launches

Skills

• 8+ years of progressive accounting experience, including at least 2 years in a Controller or Assistant Controller role at a high-growth or venture-backed company
• Deep U.S. GAAP expertise, including revenue recognition (ASC 606), stock-based compensation, and capitalization
• Demonstrated experience leading or supporting an external audit and standing up internal controls
• A track record building scalable close processes and selecting or implementing accounting systems
• Strong cross-functional communication; able to translate accounting into clear narratives for non-finance partners, leadership, and the Board
• CPA required. Big 4 or national firm public accounting experience strongly preferred
• Experience leading a company's annual audit at a venture-backed company (Series B-D)
• Familiarity with NetSuite or a comparable ERP and modern close tooling
• Healthcare or SaaS revenue recognition experience

Benefits

• Comprehensive medical, dental, and vision coverage for you and your dependents
• 401(k) with a company match of up to 3% of base salary
• A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
• Parental leave to support your family needs
• Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
• Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.

Company Overview