The Role
Owns the accounting function for a medical technology company, leading technical accounting, ASC 606 revenue recognition, monthly close, GAAP reporting, audits, tax coordination, internal controls, NetSuite administration, and accounting team development. Partners with executive leadership, the board, auditors, investors, and lenders on financial reporting, cash management, budgeting, and strategic decisions. The role requires hands-on expertise across accounting operations, technical accounting documentation, inventory, SaaS and hardware contracts, and public-company readiness.
Summary Generated by Built In
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About BioIntelliSense
The future of healthcare is here. Join us to shape the future of healthcare for patients and clinicians. BioIntelliSense is helping to decode human physiology and pioneer a new standard of proactive monitoring to improve healthcare outcomes and save lives.
Our FDA-cleared and award-winning BioButton® wearables, BioHub™ gateways, BioMobile™ applications, BioCloud™ data services and the BioDashboard™ clinical intelligence system creates a comprehensive tech-enhanced solution that makes continuous monitoring reliable and scalable. Through our physiologic intelligence and AI-driven analytics, clinicians have access to vital sign trending and data-driven insights to enable earlier detection of patient health decline and proactive intervention for faster, safer care.
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What You'll Be Doing
We are seeking a Controller to own the accounting function at BioIntelliSense. This is a hands-on leadership role for a CPA with a public accounting audit foundation who can run a tight monthly close, lead our annual audit, and author the technical accounting positions that a growing medical technology company needs, most notably ASC 606 revenue recognition memos for multi-element contracts spanning hardware, SaaS data services, clinical monitoring, and government-funded programs.
The Controller leads a small accounting team (Accounting Manager and Senior Accountant), serves as the primary contact for external auditors and tax advisors, administrator of NetSuite, and partners with the SVP of Finance, CEO, and Board on financial reporting, cash management, and strategic decisions. The right candidate is equally comfortable posting a journal entry, defending a judgment to an audit partner, and explaining the cash impact of a customer contract to the CEO.
ResponsibilitiesTechnical Accounting & Documentation- Own the technical accounting file. Draft ASC 606 revenue recognition memos for new and amended customer contracts, including performance-obligation identification, SSP allocation, principal-versus-agent analysis, variable consideration, bill-and-hold, and contract asset/liability tracking.
- Author and maintain accounting policy and position papers (e.g., inventory costing and reserves, capitalization thresholds, ASC 842 leases, stock-based compensation, ASC 340-40 contract costs, debt and convertible instruments) in a form that stands up to auditor review.
- Research emerging GAAP guidance and assess the impact on the Company; brief leadership on conclusions and required changes.
- Design and document internal controls and accounting procedures consistent with a company preparing for scale, institutional diligence, and potential public-company readiness.
- NetSuite Administrator: chart of accounts, revenue recognition setup, inventory and MRP configuration, reporting, and management of external NetSuite consultants.
- Own the full accounting cycle: GL, AP, AR, revenue and deferred revenue, inventory/COGS, fixed assets, payroll, accruals, and equity.
- Lead a disciplined monthly close including journal entry review, balance sheet reconciliations, variance analysis, and flux commentary.
- Prepare monthly, quarterly, and annual GAAP financial statements and the reporting package for the Board of Directors, investors, and lenders.
- Maintain revenue schedules, deferred revenue roll forwards, and inventory reconciliations tied to contract terms and shipping records.
- Serve as primary liaison for the annual financial statement audit and 401(k) plan audit: plan the audit calendar, prepare PBC schedules, draft footnotes, and resolve auditor questions with well-supported positions.
- Coordinate federal and state income tax returns, R&D tax credit studies, Delaware franchise tax, and sales & use tax filings with outside advisors.
- Manage business, insurance, and statistical surveys, and maintain compliance with government contracts and grant reporting requirements.
- Lead, coach, and develop the accounting team; set priorities, review work, and build a culture of accuracy and continuous improvement.
- Support the SVP of Finance on budgeting, reforecasts, customer profitability, pricing, and Board and investor materials.
What We Are Looking For
- Active CPA license.
- Bachelor's or Master's degree in Accounting from a top-tier university.
- 3+ years of audit experience at a Big 4 or national public accounting firm, with exposure to technology, life sciences, or medical device clients.
- 8+ years of total progressive accounting experience, including 3+ years as a Controller, Assistant Controller, or equivalent in a venture-backed or PE-backed operating company.
- Demonstrated experience drafting ASC 606 revenue recognition memos and other technical accounting position papers that have been reviewed and accepted by external auditors.
- Deep working knowledge of U.S. GAAP, including revenue recognition for multi-element arrangements, inventory costing, leases, and equity.
- Hands-on experience managing a monthly close and preparing complete financial statements and footnotes.
- NetSuite ERP experience, ideally as administrator.
- Advanced Excel and financial modeling skills; comfortable building schedules from source data.
- Demonstrated proficiency in utilizing AI tools including Claude models, creating projects and artifacts Preferred
- Experience with hardware plus SaaS or device plus data-service business models, distributor arrangements, and government or grant-funded contracts.
- Experience with inventory and manufacturing accounting, including contract manufacturers and standard costing.
- Exposure to fundraising diligence, convertible notes, preferred stock, and cap table administration.
- Experience implementing or optimizing NetSuite modules (Advanced Revenue Management, MRP, Fixed Assets).
Required
Key Capabilities
- Technical writer and communicator: Communicates conclusions in plain language to executives and the Board and defends them with precision to auditors and advisors.
- Critical thinking and analytical acumen: Solution-oriented and results-driven; analyzes complex data sets, surfaces discrepancies, and closes the loop.
- People leadership: Engages proactively with the finance team and cross-functionally with Operations, Commercial, R&D, and HR; embodies a "One BioTeam" mindset.
- Organizational acumen: Highly detail-oriented; manages multiple deadlines during close, audit, and Board cycles in a fast-paced environment.
- Integrity: Strong ethics, accountability, and confidentiality; trusted with sensitive financial information and a role model for risk and compliance standards.
Company Culture and Benefits
Our Workplace Culture:
We’re a dynamic remote-first environment, with offices in Golden, CO and Redwood City, CA and a talented, motivated team of colleagues globally. We’re passionate about BioIntelliSense and are motivated by our shared mission. As OneBioTeam, we’re a collaborative team that thrives in a fast-paced environment and embraces challenges as opportunities to shape the future, together.
Comprehensive Benefits Package:
· Robust Medical, Dental and Vision Plans
· STD, LTD, Insurance Plans
· HSA and Flexible Spending Accounts
· Safe Harbor 401(k) Plan with 3% Employer Contribution with immediate vesting
· FlexVTO (flexible vacation plans), Paid Sick Leave, 11 Company Holidays
· Home Office Benefits Stipend for Fully Remote Roles
BioIntelliSense is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran, disability status or any other status protected under federal, state or local law.
Skills Required
- Active CPA license
- Bachelor's or Master's degree in Accounting from a top-tier university
- 3+ years of audit experience at a Big 4 or national public accounting firm
- Exposure to technology, life sciences, or medical device clients
- 8+ years of progressive accounting experience
- 3+ years as a Controller, Assistant Controller, or equivalent in a venture-backed or PE-backed operating company
- Experience drafting ASC 606 revenue recognition memos and technical accounting position papers accepted by external auditors
- Deep knowledge of U.S. GAAP, including revenue recognition, inventory costing, leases, and equity
- Experience managing monthly close and preparing complete financial statements and footnotes
- NetSuite ERP experience, ideally as an administrator
- Advanced Excel and financial modeling skills
- Proficiency using AI tools, including Claude models, projects, and artifacts
- Experience with hardware plus SaaS or device plus data-service business models
- Experience with distributor arrangements and government or grant-funded contracts
- Experience with inventory and manufacturing accounting, contract manufacturers, and standard costing
- Exposure to fundraising diligence, convertible notes, preferred stock, and cap table administration
- Experience implementing or optimizing NetSuite Advanced Revenue Management, MRP, or Fixed Assets modules
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The Company
What We Do
BioIntelliSense is ushering in a new era of continuous health monitoring and clinical intelligence for Remote Patient Monitoring (RPM). Our medical-grade Data-as-a-Service (DaaS) platform seamlessly captures multi-parameter vital signs, physiological biometrics, and symptomatic events through an effortless patient experience. The FDA-cleared, medical-grade BioButton® wearable device makes remote monitoring and early detection simple. Through the platform’s advanced analytics, clinicians have access to high-resolution patient trending and reporting to enable medical-grade remote care from in-hospital to home. Learn how BioIntelliSense is redefining remote patient monitoring through medical-grade and cost-effective data services or visit our website at BioIntelliSense.com.
