What you’ll be doing:
- Global Accounting & Controls Leadership:
- 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.
- Revenue & Cost Governance:
- 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.
- Tax Compliance:
- 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.
- Process & System Scaling:
- 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.
- Team Leadership:
- Lead and coach a geographically distributed Accounting team (US + Europe).
- Build capabilities and uplift developing talent; recruit where needed.
- Strategic Transactions:
- 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).
What you need to have:
- Bachelor’s degree in Accounting/Finance; CPA or equivalent strongly preferred.
- 10+ years progressive accounting experience with at least 3 years leading teams.
- Experience at a rapidly scaling startup/scale-up.
- Strong technical accounting background (US GAAP, ASC 606, multi-country consolidation).
- Proven success leading financial audits and implementing internal controls.
- Experience from a public accounting firm is a plus.
- Hands-on experience across AP, AR, payroll, revenue operations, tax, and reporting (including complex intercompany setups).
- Experience operating across multiple countries/entities (US + European countries preferred).
- Demonstrated success improving systems, processes, and close timelines.
- Ability to thrive in a dynamic high-growth environment with evolving priorities.
- IPO or SOX readiness involvement.
What we would love to see:
- Netsuite + Zip/Ramp + Navan experience.
- Experience integrating acquisitions or new legal entities.
- Familiarity with healthcare regulatory environments.
To ensure you feel good solving a big Human problem, we offer:
- A stimulating, fast-paced environment with lots of room for creativity.
- A bright future at a promising high-tech startup company.
- Career development and growth, with a competitive salary.
- The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare.
- A flexible environment where you can control your hours (remotely) with unlimited vacation.
- Access to our health and well-being program (digital therapist sessions).
- Remote or Hybrid work policy.
- To get to know more about our Tech Stack, check here.
Top Skills
What We Do
SWORD Health is the world’s fastest growing virtual musculoskeletal (MSK) care provider, on a mission to free two billion people from chronic and post-surgical pain. The company’s clinical-grade virtual therapy platform pairs expert physical therapists with FDA-listed wearable technology to deliver a personalized treatment plan that is more effective, easier and less expensive than traditional physical therapy. SWORD Health believes in the power of people to recover at home, without resorting to imaging, surgeries or opioids. Since launching in 2015, SWORD Health has worked with insurers, health systems and employers in the U.S, Europe and Australia to make quality physical therapy more accessible to everyone.
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