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Accounting Lead (Controller)



Accounting & Finance
San Francisco, CA, USA
Posted on Friday, August 11, 2023
About NexHealth
Our healthcare system is frustratingly analog. When you live in a world of one-tap car rides, meal delivery, and unlimited streaming, why do you have to call to schedule an appointment with a doctor and are still handed a clipboard to fill in a form? NexHealth’s mission is to accelerate innovation in healthcare. We’re doing this by connecting patients, doctors, and developers. We’re the first to fully automate the integration with health record systems, paving the way for a new generation of disruptive health-tech companies
Here's some of what we've accomplished:
  1. $125M Series C at $1B valuation
  2. Manage more than 38 million patient records
  3. 100%+ annual revenue growth
  4. Top 10% of Inc. 5000 (2022)
Accounting Lead at NexHealth

As the founding member of the Accounting team, this role will be responsible for establishing or improving upon exiting accounting systems and processes. This includes starting implementation of an ERP system, PO process and update to existing revenue recognition process.

What You’ll Do:

  • Own monthly, quarterly and annual financial close. Work closely with FP&A Lead to deliver reporting of historical financial data.
  • Provide financial reporting to external and internal uses that is easy to digest and highlights areas of concern and where improvements are required.
  • Implement and maintain accounting systems that support revenue recognition, quote-to-cash, KPI reporting, AP and AR workflows.
  • Ability to build and manage a team of high-performing accountants. Coach junior staff and be their resource on complex accounting topics.
  • Manage billing operations, tax compliance, external due diligence requests, AR and AP functions.
  • Drive process improvements and internal controls to support the company’s growth at scale

What You’ll Bring:

  • BA or BS in accounting or related fields.
  • 10+ years of professional experience with at least 2 years of controller experience.
  • CPA certification.
  • Public accounting experience - Big 4 preferred.
  • Experience working implementing accounting systems such as NetSuite.
  • Experience in hiring and mentoring junior staff.
  • Experience with SaaS companies, metrics, and business drivers.
  • Preparation for due diligence request.
  • Experience with billing systems such as Zuora, Chargebee or similar.

NexHealth Values

  • Solve the customer’s problems, not yours
    When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.
  • Do the things others are not willing to do
    As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
  • Take ownership
    Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.
  • Say what’s on your mind, with positive intent
    Be direct, proactive, transparent, and frequent in your communication.
  • Default trust
    As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.
  • Think in first principles
    We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.


  • Competitive salary plus equity
  • Commuter benefits
  • 401K
  • Full Medical, Dental and Vision
  • Unlimited PTO