Controller

Counsel Health is seeking a meticulous and strategic Controller to serve as the backbone of our financial operations. We need a finance leader who can balance rigorous accounting standards with the agility required in a fast-paced, venture-backed environment.

You will own the entirety of Counsel’s financial ecosystem. This includes building out our internal accounting infrastructure, managing the month-end close, and ensuring our financial reporting provides the clarity needed to scale our impact on patient care. You aren't just "keeping the books"; you are designing the financial engine that allows our team to thrive.

• Financial Architecture: Design, implement, and manage all accounting policies and internal controls to ensure GAAP compliance and data integrity.

• The Monthly Rhythm: Lead the month-end, quarter-end, and year-end closing processes, delivering timely and accurate financial statements to the executive team.

• Operational Finance: Manage all day-to-day finance functions, including accounts payable/receivable, payroll, tax compliance, and treasury management.

• Audit & Compliance: Serve as the primary point of contact for external auditors and tax professionals, ensuring seamless annual audits and regulatory filings.

• Strategic Partnership: Collaborate with the CEO and operations leads to translate financial data into actionable insights, helping to refine our unit economics as we scale.

• Systems Optimization: Select and implement scalable financial software and ERP tools to automate manual workflows and reduce "time to close."

• Experience: 10+ years of progressive accounting experience, with at least 4 years in a Controller or Assistant Controller role—ideally within a high-growth startup or the healthcare sector.

• Technical Mastery: Deep expertise in US GAAP and a proven track record of managing complex financial operations.

• The Startup Mindset: You are comfortable with ambiguity and "rolling up your sleeves" to build processes from scratch rather than just following an existing manual.

• Attention to Detail: An uncompromising eye for accuracy; you believe that the "small things" in a ledger represent the health of the entire mission.

• Communication: The ability to explain complex financial concepts to non-finance stakeholders, including our clinical and engineering teams.

• CPA Certification: Active CPA license is strongly preferred.

• Healthcare Experience: Familiarity with value-based care models, medical billing nuances, or healthcare-specific regulatory environments.

• Tool Kit: Experience with modern "fin-tech" stacks (e.g., NetSuite, Rippling, Brex, or Bill.com).

• Big 4 Background: Early career experience at a top-tier accounting firm.

• Impact: Be at the forefront and contribute to groundbreaking, AI-driven healthcare experiences, directly interface with execs at the world's leading tech & healthcare orgs

• Growth: Significant opportunities for broad ownership and professional development within our rapidly scaling startup

• Compensation: Competitive salary + equity

• Benefits: Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave

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• Patients come first.
  We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision.

• Innovate with optimism.
  We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows.

• Right answer wins.
  Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team.

• Simplicity over complexity.
  We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team.

• Do fewer things, well.
  We focus, and hold ourselves to the highest bar and pursue excellence in those areas.

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Counsel’s mission is to multiply the world's healthcare capacity. We believe in a future in which every person has a personalized, AI-enabled doctor always in their pocket. To accomplish this, we’re building the first fully-vertical, AI-native medical group from the ground up. We’ve redesigned the entire clinical stack with custom AI tools that make our in-house physicians 10x faster and smarter. [learn more on our blog]

Since our founding in 2023, we have formed partnerships with leading healthcare organizations and are on track to serve hundreds of thousands of patients on our platform within the next year. We have raised over $35M from a16z, Google Ventures, Pear VC and other top-tier VC firms.

Our team combines deep expertise in medicine (Harvard, Mt. Sinai, Mass General, UCSF) and technology (Google, DeepMind, NVIDIA, MIT, Stripe) — and we’re looking for exceptional people to join us as we scale.

Join us as we build the future of AI in healthcare!

Recruitment Fraud Notice
Counsel Health only communicates with candidates using official @counselhealth.com email addresses. We will never ask for payment or financial information during the interview process. If you receive suspicious outreach claiming to be from Counsel Health, please contact us at [email protected].