Controller

XRHealth; Needham (MA); Presencial; USD 140 000 - 180 000; Tempo integral

Resumo da oferta

XRHealth, a Boston-based digital health company, seeks a hands-on Controller to own the monthly close for XRHealth and its multi-entity structure. You will manage three staff accountants and coordinate with our outsourced firm to consolidate books and file corporate returns.

This role leads cash and payment controls, intercompany activity, Carta stock‑comp, internal controls, and monthly financial reporting with variance commentary, while hiring and mentoring the accounting team and ensuring US

Qualificações

• Bachelor's degree in accounting or finance; CPA strongly preferred.
• 7+ years accounting experience, with 2+ years supervising others.
• Hands-on multi-entity month-end close under US GAAP.
• Experience with Ramp, Rippling, and a mid-market GL system.
• Multi-state compliance experience including registrations and payroll.
• Healthcare or clinical services exposure is a plus.

Responsabilidades

• Run monthly close calendar and approve reconciliations and entries.
• Oversee outsourced accounting firm and intercompany activity.
• Provide monthly financials with variance commentary.
• Manage cash, payments, and bank transfers with approvals.
• Own Carta cap table, stock grants and related expenses.
• Maintain COA, policies, close checklists, and memos.
• Maintain internal controls and approval thresholds.
• Ensure state registrations and tax package reviews.
• Hire, train and develop staff accountants.
• Support ad hoc audits, renewals, and vendor requests.

Conhecimentos

Team leadership

US GAAP

Accounts reconciliation

Financial reporting

Cash management

Intercompany

Formação académica

Bachelor's degree in accounting/finance

CPA strongly preferred

Ferramentas

Ramp

Rippling

General ledger (ERP)

Descrição da oferta de emprego

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.

Why this role exists

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.