At Sirona Medical, we’re building software that enables physicians to work as fast as they can think.
Each year in the U.S., billions of patient images are captured—and nearly all of them are reviewed and diagnosed by radiologists. These specialists are the central hub of diagnostic medicine: over 80% of all healthcare data flows through radiology IT systems. Yet despite their pivotal role, radiologists are overburdened by outdated, fragmented software which limits their efficiency and ultimately the quality and efficiency of care that health systems can provide patients. That’s where Sirona comes in.
We’re a San Francisco-based, cloud-native software company with employees around the world. Our deep understanding of both the practice and business of radiology has allowed us to build RadOS—a unified, AI-powered operating system powering the entire radiology workflows.
How Sirona Solves the ProblemSirona is uniquely positioned to transform the way radiology is practiced. We're delivering the organizational shift that both individual radiologists and entire practices urgently need:
A unified, intuitive, and platform-agnostic solution
A streamlined workspace that makes every part of the radiologist’s workflow faster and easier
The freedom to read from anywhere, for anyone
The Role
Sirona Medical is seeking a hands-on Controller to lead our accounting operations, financial reporting, and compliance efforts. This is an exciting opportunity for a CPA with strong accounting fundamentals who’s ready to step into a high-visibility role at a fast-growing healthcare technology company. You’ll oversee a Senior Accountant and collaborate with our external accounting consultants as we bring more functions in-house.
Reporting directly to the CEO, you’ll also have regular interaction with the board and executive team, playing a key role in shaping the systems and processes that support our next phase of rapid global commercial growth.
Why Sirona
You’ll join a mission-driven team transforming a critical area of healthcare. This role offers meaningful ownership, board visibility, and the opportunity to shape scalable financial systems for global growth. For the right candidate, this position offers a clear path to broader finance leadership as Sirona continues to expand.
Sirona Medical is headquartered in downtown San Francisco but has a remote first culture. This role would require the Controller to be in the SF office 7-8 days per quarter for strategic meetings.
Key Responsibilities:
- Oversee all aspects of accounting operations, including general ledger, accounts payable/receivable, payroll, and expense management
- Lead and mentor a Senior Accountant while managing relationships with our external accounting and audit partners
- Drive the monthly close and financial reporting process, ensuring accuracy, timeliness, and compliance with GAAP
- Prepare and present financial reports and insights for executive leadership and the board
Maintain and strengthen internal controls, policies, and documentation - Partner closely with the Go-To-Market organization to align financial processes with rapid commercial expansion
- Support global operations, including new market entry, billing, and revenue recognition
- Collaborate with FP&A on budgeting, forecasting, and cash flow analysis
- Identify and implement systems and process improvements to enhance scalability and efficiency
Key Qualifications:
- CPA required
- 5–8 years of progressive accounting experience, ideally combining public accounting and industry (startup or SaaS experience strongly preferred)
- Deep understanding of U.S. GAAP and technical accounting
- Hands-on operator who enjoys building structure in a fast-moving environment
- Proven ability to manage and develop accounting staff
- Strong communicator who can translate complex accounting concepts into clear business insights
- Comfortable collaborating cross-functionally and presenting to executive and board audiences
- Motivated by growth and the opportunity to shape the finance function of a scaling global company
Bonus Points
- Experience supporting a fast-scaling, venture-backed SaaS or healthcare technology company
- Familiarity with ASC 606 revenue recognition, multi-entity consolidation, and international operations
- Exposure to financial systems like NetSuite, QuickBooks Online, or similar ERP tools
Benefits:
- Stock Options
- Unlimited PTO
- Medical, dental, vision insurance
- Life insurance
- Maternity and Paternity Leave
- 401K matching
- MacbookPro or PC depending on your preference
- Sponsorship for conferences, continuing education, etc
- Dynamic engineering role–technological innovation is at the core of our business
- Growth and learning opportunities from a startup environment include working closely with an international team of scientists, engineers, platform architects, programmers and professionals
- Do something morally benevolent
The annual US base salary range for this full-time position is $160,000 - $195,000 + equity + benefits. Pay scale is flexible depending on experience. Within the range, individual pay is determined by work location and additional factors, including job-related skills, competencies, experience, relevant education and training. Your recruiter can share more about the specific salary range for your preferred location during the hiring process.
Top Skills
What We Do
Sirona Medical Inc. is addressing the needs of today’s radiology practices with a novel cloud-native platform that unifies radiology IT applications – worklist, viewer, reporter, and AI – onto a single, streamlined Workspace. Sirona’s radiology operating system (RadOS) puts radiologists in the driver’s seat with AI-powered solutions that simplify their workflow and amplify their work product. Based in San Francisco, CA, Sirona Medical is founded on a deep understanding of both the practice and business of radiology, with the goal of enabling radiologists to work as fast as they can think.
