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Sword Health · 1 month ago

Controller

United States

Contract

Remote

Senior Level, Lead/Staff

10+ years exp

Sword Health is an AI-first healthcare company focused on providing accessible healthcare solutions. The Controller will lead the global accounting foundation, ensuring financial reporting accuracy and compliance while preparing the company for public readiness.

Artificial Intelligence (AI)Health CareMedicalmHealthTherapeutics

No H1B

Responsibilities

Owns US GAAP-compliant accounting, revenue recognition (ASC 606), and multi-entity consolidation (US+Europe)

Manage month-end close, GL integrity, intercompany transactions, and financial reporting accuracy

Maintain internal controls and policies required for future public-company readiness; coordinate closely with InfoSec, IT, and Legal

Prepare and lead annual external audits; manage relationship with external auditors

Ensure compliance with health-care related financial regulations (SOC2, HIPAA-related processes, etc.)

Prepare global financial statements and management reporting, partnering with FP&A to drive insights

Present reporting and control environment updates to Audit Committee

Support technical accounting research and implementation of new standards

Track performance and margins across multiple revenue streams and commercial models

Partner with Commercial and Revenue Operations to strengthen systems data integrity (CRM, Billing tool, Contract Data) and ensure accuracy of our utilization-based revenue model

Manage US and international tax compliance (VAT, sales tax, income tax)

Oversee R&D tax credit processes and documentation

Drive automation and efficiency in tax data collection and filing

Design and improve scalable accounting workflows across AP, AR, payroll, and spend approval

Deploy and optimize financial systems (ERP, spend management, travel)

Lead automation to reduce manual work and shorten time-to-close

Lead and coach a geographically distributed Accounting team (US + Europe)

Build capabilities and uplift developing talent; recruit where needed

Ensure accurate accounting for equity transactions, debt financing and fundraising events

Support corporate structuring and M&A integration activities when needed (including, Financial DD, Tax DD, PPA)

Qualification

US GAAPASC 606Multi-entity consolidationFinancial auditsInternal controlsCPATax complianceFinancial reportingNetsuiteProcess improvementHealthcare regulationsTeam leadership