Controller

Location:

Remote — strong preference for candidates based in Massachusetts, Pennsylvania, New York, or Connecticut. Occasional in-person attendance (approximately 1–2 times per month) may be required.

Department:

Finance

Reports to:

Chief Financial Officer

Job Type:

Full-Time

What You’ll Do

• Accounting Operations & Financial Close
• Own the full-cycle accounting function, including general ledger management, accounts payable, accounts receivable, payroll accounting, and revenue recognition.
• Lead the monthly, quarterly, and annual close process, ensuring accurate and timely financial statements in accordance with GAAP.
• Prepare and review journal entries, account reconciliations, and supporting schedules.
• Maintain and continuously improve the chart of accounts, accounting policies, and close checklist as the company scales.
• Partner with the RCM and clinical operations teams to ensure accurate revenue and accounts receivable accounting across payers.
• Tax & Compliance
• Manage all aspects of federal, state, and local tax compliance, including income tax, sales/use tax, and payroll tax filings, working with external tax advisors as needed.
• Oversee preparation and filing of annual tax returns and quarterly estimates in coordination with outside CPA firms.
• Monitor multi-state tax and regulatory obligations relevant to a distributed, multi-state healthcare workforce.
• Ensure compliance with 1099/W-2 filings and other statutory reporting requirements.
• Stay current on relevant accounting and tax regulatory changes and assess their impact on FamilyWell.
• Internal Controls, Audit & Risk
• Design, implement, and maintain internal controls to safeguard company assets and ensure accurate financial reporting.
• Serve as the primary point of contact for external audits, tax reviews, and any financial due diligence (e.g., for future fundraising).
• Identify and mitigate financial and operational risk as the organization grows.
• Financial Reporting & Planning Support
• Deliver accurate, timely monthly financial statements and management reporting packages to leadership and the Board.
• Partner with the Chief Financial Officer on budgeting, forecasting, and cash flow management.
• Provide financial analysis and ad hoc reporting to support strategic decision-making across the organization.
• Team Leadership & Cross-Functional Partnership
• Build, manage, and mentor accounting staff and/or outsourced accounting resources as the team scales.
• Partner cross-functionally with RCM, People/HR, Technology, and Operations to ensure accounting processes align with broader company workflows.
• Evaluate and help implement accounting systems and tools (e.g., Quickbooks, Claude, Candid, Sigma) to improve efficiency and reporting capability.

Qualifications

• Required
• Bachelor’s degree in Accounting, Finance, or related field.
• 7+ years of progressive accounting experience, including full-cycle accounting and tax, with at least 2–3 years in a Controller or senior accounting leadership role.
• Strong working knowledge of GAAP, multi-state tax compliance, and internal controls.
• Demonstrated experience managing the monthly close process and producing accurate, timely financial statements.
• Excellent analytical, organizational, and communication skills, with the ability to translate complex financial information for non-finance stakeholders.
• Comfortable operating with significant autonomy in a remote, fast-paced start-up environment.
• Strongly Preferred
• Experience in healthcare, behavioral health, or a venture-backed start-up environment.
• Prior experience preparing for or supporting an audit, due diligence process, or institutional fundraising round.
• Experience building or scaling an accounting function and/or team.
• CPA, or qualifications to complete CPA are preferred, but not required

What We Offer

Mission-Driven Work: Join a team transforming women’s mental health care and improving lives every day.

Growth Opportunity: Help build and scale financial operations at a Series A company with significant expansion ahead.

Exceptional Team: Work alongside passionate, mission-aligned colleagues, including clinical leaders from Harvard, Johns Hopkins, and top health systems.

Competitive Compensation: Base salary commensurate with experience, plus equity, comprehensive benefits, and 401(k).

Flexibility: Remote-first role with occasional in-person collaboration (approximately 1–2 times per month).

Impact: Your work directly enables thousands of women to access life-changing mental health care.

Our Values

Empathy First: We lead with compassion for the women and families we serve.

Evidence-Based: We’re committed to proven clinical models and data-driven decision making.

Equity & Access: We believe all women deserve high-quality, affordable mental health care.

Collaboration: We work as one team across clinical, operational, and business functions.

Continuous Learning: We embrace feedback, iterate quickly, and constantly improve.

To Apply

Please submit your resume and a brief cover letter explaining your interest in this role and what you would bring to FamilyWell’s mission.