Controller jobs in United States
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Leave Your Mark · 9 hours ago

Controller

Leave Your Mark is a healthcare technology company focused on value-based care, and they are seeking a highly experienced Controller to lead the accounting function. This role involves ensuring financial integrity, managing the financial close process, and overseeing technical accounting compliance.

Staffing & Recruiting

Responsibilities

Own the entire monthly, quarterly, and annual financial close process, ensuring timely and accurate preparation of GAAP-compliant financial statements (P&L, Balance Sheet, Cash Flow)
Serve as the in-house expert on technical accounting matters, particularly revenue recognition (ASC 606) for shared savings/risk contracts, and performance-based incentive payments typical in the value-based healthcare space
Oversee the development and maintenance of robust cost accounting methodologies, ensuring accurate calculation of Per Member Per Month (PMPM) costs, Contribution Margins, and other critical unit economics metrics used for market performance analysis
Manage all aspects of the annual external financial audit, statutory audits, and tax compliance (including working with external tax partners). Ensure proper internal controls (SOX-like compliance) are designed, documented, and operating effectively
Drive continuous improvement in financial processes and systems, including optimizing the General Ledger (GL) structure
Own the integrity of the Balance Sheet, including managing cash flow, overseeing fixed assets (including software capitalization under ASC 350-40), and ensuring accurate accruals and reserves
Build a small and effective corporate accounting team, setting priorities, fostering professional development, and ensuring alignment with the company's financial goals

Qualification

CPAHealthcare Accounting ExpertiseTechnical AccountingAudit ManagementFinancial Close & ReportingCost AccountingSystem FluencySystemProcess ImprovementBalance Sheet ManagementTeam Leadership

Required

Bachelor's degree in Accounting
CPA (Certified Public Accountant) required (inactive okay)
10+ years of progressive accounting experience, including at least 3 years in a Controller or Assistant Controller role, ideally within a high-growth company
Deep, hands-on experience in accounting for value-based care (VBC) arrangements, including capitation, shared savings/risk models, and accounting for IBNR (Incurred But Not Reported) or similar liabilities/reserves related to delegated financial risk
Expertise in applying and documenting complex technical accounting standards (US GAAP), including revenue recognition (ASC 606) for subscription or services-based business models
Strong working knowledge of major ERP systems (e.g., Sage Intaact) and proficiency with advanced data analysis tools (Excel, data cubes/BI tools)
Proven experience managing annual external audits with Big Four or regional accounting firms

Preferred

Master's degree in Accounting or Business Administration (MBA)
Experience in a healthcare technology (Health Tech) or payer/provider organization with high transactional volume
Experience overseeing the capitalization of internally developed software (ASC 350-40)
Prior experience scaling a Finance function in a rapidly growing environment (e.g., Series B through IPO readiness)
Demonstrated experience designing, implementing, or optimizing internal controls and documentation (e.g., SOX preparation)

Company

Leave Your Mark

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PEOPLE FIRST. COLLECTIVE SUCCESS. At Leave Your Mark we help organizations develop, cultivate, operate and ensure success of their people.

Funding

Current Stage
Early Stage
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