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Finni Health (YC W23)

Controller

Finni Health (YC W23)

Controller building and leading the accounting function for a healthcare MSO. Responsible for establishing scalable accounting infrastructure and ensuring financial reporting integrity.

Posted 5/20/2026full-timeRemote • 🇺🇸 United StatesSeniorLead💰 $170,000 - $200,000 per yearWebsite

About the role

Key responsibilities & impact
  • Own monthly, quarterly, and annual close processes
  • Build and maintain a scalable ≤10-day close cadence
  • Ensure integrity of the general ledger and financial reporting
  • Prepare internal financial statements and reporting packages
  • Own ongoing execution of revenue recognition in an insurance-based environment
  • Build and maintain a monthly revenue bridge: Billing activity → Net Revenue → Cash → AR
  • Ensure RCM outputs reconcile to the GL each month
  • Own AR accounting, aging, and reserve methodology
  • Design scalable accounting processes and SOPs
  • Establish internal controls and ensure GAAP compliance
  • Identify and remediate gaps in accounting workflows
  • Support audit readiness and future diligence processes
  • Oversee payroll accounting, accurately reconciling bi-weekly pay periods and invoicing with monthly reporting
  • Partner closely with Revenue Cycle Management (RCM), Finance Operations, and Executive leadership
  • Improve alignment between operational reporting and financial reporting
  • Help create visibility into revenue quality, collections, and AR performance

Requirements

What you’ll need
  • 8-10 years of healthcare accounting experience
  • Prior Controller or Assistant Controller Experience
  • Strong technical accounting foundation in healthcare revenue recognition
  • Experience operating in high-volume, scaling environments
  • Ability to build processes from 0-1
  • Cross-border (US-CAN) accounting experience (bonus)

Benefits

Comp & perks
  • 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Finni Health (YC W23) Website LinkedIn All Job Openings 501 - 1000 employees Founded 2022 ⚕️ Healthcare Insurance 📚 Education Healthcare Insurance
  • Mental Health
  • Education Finni Health is a nationwide provider of expert ABA (Applied Behavior Analysis) and mental health care designed for families navigating autism. By connecting families with highly qualified therapists, Finni offers personalized support that includes in-home or in-clinic services, flexible scheduling, and family-led goal setting. With a commitment to results-based care, Finni is dedicated to improving the lives of children with autism and their families through dedicated therapy that enhances daily living skills, communication, and emotional regulation. Controller Job not on LinkedIn 🔥 1 minute ago 🇺🇸 United States – Remote 💵 $170k - $200k / year ⏰ Full Time 🟠 Senior 🔴 Lead ⛔️ Financial Controller Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
  • Own monthly, quarterly, and annual close processes
  • Build and maintain a scalable ≤10-day close cadence
  • Ensure integrity of the general ledger and financial reporting
  • Prepare internal financial statements and reporting packages
  • Own ongoing execution of revenue recognition in an insurance-based environment
  • Build and maintain a monthly revenue bridge: Billing activity → Net Revenue → Cash → AR
  • Ensure RCM outputs reconcile to the GL each month
  • Own AR accounting, aging, and reserve methodology
  • Design scalable accounting processes and SOPs
  • Establish internal controls and ensure GAAP compliance
  • Identify and remediate gaps in accounting workflows
  • Support audit readiness and future diligence processes
  • Oversee payroll accounting, accurately reconciling bi-weekly pay periods and invoicing with monthly reporting
  • Partner closely with Revenue Cycle Management (RCM), Finance Operations, and Executive leadership
  • Improve alignment between operational reporting and financial reporting
  • Help create visibility into revenue quality, collections, and AR performance 🎯 Requirements
  • 8-10 years of healthcare accounting experience
  • Prior Controller or Assistant Controller Experience
  • Strong technical accounting foundation in healthcare revenue recognition
  • Experience operating in high-volume, scaling environments
  • Ability to build processes from 0-1
  • Cross-border (US-CAN) accounting experience (bonus) Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Fractional Controller 🔥 1 hour ago Edge Staffing 11 - 50 🎯 Recruiter 🤝 B2B Website LinkedIn All Job Openings Remote Fractional Controller tackling bookkeeping for multiple client accounts, providing financial strategy and clarity in the construction industry. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior ⛔️ Financial Controller MRO International Controller 🔥 3 hours ago GE Aerospace 10,000+ employees 🚀 Aerospace ⚡ Energy Website LinkedIn All Job Openings International Controller ensuring financial compliance and operational excellence at GE Aerospace. Leading a team to streamline accounting processes in a dynamic aerospace environment. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🔴 Lead ⛔️ Financial Controller Assistant Controller 🔥 5 hours ago Coastal 201 - 500 🏦 Banking 💳 Fintech 🤝 B2B Website LinkedIn All Job Openings Assistant Controller overseeing daily accounting activities at Coastal, a modern banking provider. Ensure compliance with GAAP and manage accounting staff effectively. 🇺🇸 United States – Remote 💵 $141.5k - $169.8k / year ⏰ Full Time 🟠 Senior 🔴 Lead ⛔️ Financial Controller 🦅 H1B Visa Sponsor Division Controller 🔥 11 hours ago Stearns Bank N.A. 501 - 1000 Website LinkedIn All Job Openings Division Controller overseeing accounting operations at Stearns Bank. Responsibilities include financial statement production, compliance, and audits. 🇺🇸 United States – Remote 💵 $110k - $140k / year ⏰ Full Time 🟠 Senior 🔴 Lead ⛔️ Financial Controller Assistant Controller 🔥 17 hours ago Baylor Genetics 501 - 1000 🧬 Biotechnology 🔬 Science Website LinkedIn All Job Openings Assistant Controller managing day-to-day accounting operations at Baylor Genetics. Overseeing month-end close, financial reporting, and internal controls for effective operation. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🔴 Lead ⛔️ Financial Controller View More Financial Controller Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools
financial reportingrevenue recognitiongeneral ledgerAR accountingGAAP complianceaccounting processesSOPspayroll accountingfinancial statementsaudit readiness
Soft Skills
process improvementcollaborationleadershipproblem-solvingcommunicationorganizational skillsattention to detailanalytical skillsstrategic thinkingadaptability