Controller

XRHEALTH INC; Needham (MA); On-site; USD 140,000 - 190,000; Full time

Job summary

XRHealth Inc. is seeking an experienced Controller to own the monthly close for a multi-entity structure and manage three staff accountants in-house. You will coordinate with our outsourced firm to consolidate entities, review reconciliations, and ensure accurate financial statements.

The role includes overseeing Carta stock compensation, internal controls, and reporting with variance analysis, while partnering with FP&A for cash forecasts and 13-week outlook.

Qualifications

• Bachelor's degree in accounting or finance.
• CPA strongly preferred.
• 7+ years accounting experience with supervisory experience.
• Multi-entity month-end close and consolidation under US GAAP.
• Working knowledge of Ramp, Rippling, and mid-market GL.
• Multi-state compliance exposure; healthcare/medical domain is a plus.

Responsibilities

• Close the books monthly with one close calendar and approve all reconciliations, accruals, and JEs.
• Oversee outsourced accounting relationship and ensure clean entity books for consolidation.
• Review and approve cash outflows and bank transfers; provide weekly cash position and 13-week forecast.
• Own Carta stock compensation: reconcile cap table, record grants/exercises/cancellations, and prepare stock comp expense.
• Own chart of accounts and revenue/expense recognition policies and close checklists.
• Establish internal controls: set approval thresholds, segregate duties, manage user access for banks/Ramp/GL.
• Monitor state registrations and tax packages prepared for outside firm.
• Deliver monthly financials with variance commentary and payroll/headcount reporting.
• Hire, train, and develop accountants; cover duties during absences.
• Provide ad hoc support for audits, insurance, lenders, and new systems.

Skills

People management

Multi-entity consolidation

Internal controls

Financial reporting

Communication

Education

Bachelor's degree in accounting or finance

CPA

Tools

Ramp

Rippling

General ledger software

Job description

This role owns the monthly close for XRHealth and its multiple entity structure. You will manage 3 staff accountants, each responsible for their respective entities, and you will be the point of contact for our outsourced accounting firm, which consolidates the entities and files our corporate returns.

What you'll own

• Close and accuracy. Run one close calendar. Review and approve every reconciliation, accrual, and journal entry prepared by the accountants before the books are considered final.
• Outsourced accounting relationship. Deliver clean, complete, and consistent entity books each month with supporting schedules and intercompany activity. Answer review questions and resolve adjustments so consolidation is efficient.
• Cash and payment controls. Act as second reviewer on outgoing payments, Ramp bill runs, and bank transfers, with the VP, Finance as final approver. Report a weekly cash position and rolling 13-week forecast.
• Carta. Own Carta for stock compensation: keep the cap table reconciled to the books, record option grants, exercises, and cancellations, and prepare stock compensation expense and the supporting schedules.
• Policy and consistency. Own the chart of accounts, revenue and expense recognition policies, close checklists, and accounting memos.
• Internal controls. Set approval thresholds, keep duties segregated between preparer and approver, and manage user access for banks, Ramp, and the general ledger.
• Compliance oversight. Maintain the state registration and filing calendars. Review the tax packages sent to the outside firm.
• Reporting. Deliver monthly financials with variance commentary, plus payroll cost and headcount reporting reviewed for accuracy.
• The team. Hire, train, and develop accountants. Set expectations, review their work, and cover their respective duties during absences or gaps.
• Ad hoc support. Audit, insurance renewal, lender, and investor requests, and finance input on new systems and vendors.

What you’ll need

• Bachelor's degree in accounting or finance. CPA strongly preferred.
• Seven or more years of accounting experience, including at least two years reviewing or supervising the work of others.
• Hands-on multi-entity month-end close and consolidation support experience under US GAAP.
• Working knowledge of Ramp, Rippling, and a mid-market general ledger, with the confidence to own system configuration.
• Multi-state compliance exposure, including registrations, annual reports, and state payroll accounts.
• Healthcare, medical device, or clinical services experience is a plus, as is working alongside an outsourced accounting firm.

About XRHEALTH INC

XRHealth is a Boston-based digital health company pioneering extended reality (XR) therapeutics. Our clinically validated platform delivers physical therapy, pain management, and behavioral health treatment directly to patients at home, on a device prescribed as durable medical equipment and reimbursed by Medicare.

We have treated more than 50,000 patients, delivered over one million therapy sessions, and hold partnerships across Medicare, the VA, commercial payers, employers, and health systems. Our Products business is growing quickly, and this role sits at the center of that growth.