Controller

Qualified Health; Palo Alto (CA); Hybrid; USD 200,000 - 250,000; Full time

Benefits offered by this job

Equity opportunity

Medical/dental/vision insurance

Hybrid work options

Flexible working hours

Inclusive environment

Job summary

Qualified Health is seeking a startup-focused Controller to own the integrity of financial close, the accuracy of actuals, and scalable infrastructure. You will work to keep GAAP-compliant statements audit-ready and drive a tight link between forecasts and actuals for leadership and investors.

You will design lean processes, decide what to automate, and partner with People Ops for payroll while coordinating with external auditors and tax advisors.

Qualifications

• 8–10 years in accounting or controllership, startup exposure preferred.
• CPA strongly preferred; healthcare accounting experience a plus.
• Deep GAAP fundamentals applied to a scaling org.
• Solid experience with ASC 606 in SaaS or recurring revenue.
• Proven diligence experience (venture/audit).
• Design processes that are lean, well-documented and scalable.

Responsibilities

• Own monthly and quarterly close end-to-end, fast and clean.
• Oversee treasury: banking, runway, cash controls.
• Maintain GAAP-compliant statements with audit-ready documentation.
• Own revenue recognition for SaaS products.
• Manage payroll for semi-monthly exempt staff with People Ops.
• Handle vendor/contractor payments and payroll-related accruals.
• Maintain actuals infrastructure including Brex and reconciliation.
• Support forecasting loop with variance analysis and risk flags.
• Lead relationships with auditors, tax advisors, and accounting firms.
• Assist board reporting and investor due diligence with clear financials.
• Evaluate accounting systems; decide what to build vs buy.
• Design and own end-to-end AP/AR processes.

Skills

GAAP mastery

SaaS accounting

Financial close ownership

Revenue recognition

Audit readiness

Investor diligence

Education

CPA certification

Public accounting foundation

Tools

Brex

ERP systems

Job description

Transform healthcare with us.

At Qualified Health, we’re redefining what’s possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time algorithm monitoring, working alongside leading healthcare organizations to drive real change.

This is more than just a job. It’s an opportunity to build the future of AI in healthcare, solve complex challenges, and make a lasting impact on patient care. If you’re ambitious, innovative, and ready to move fast, we’d love to have you on board.

Join us in shaping the future of healthcare.

Job Summary

We're an AI native company building our internal operations intentionally. We are looking for a startup-focused Controller who balances depth in GAAP fundamentals with strategic instincts and a builders’ mindset. Your mission will be to own the integrity of our financial close, the accuracy of our actuals, and the infrastructure that makes our numbers trustworthy and useful; to our leadership, investors, and auditors.

Together with our forecasts, you close the loop: the quality of your actuals is what makes their forecasts credible, and their forecasts are the context in which people will understand your work.

This role has craft at its core. We want someone who pattern-matches to best-in-the-world execution and uses that expertise to build lean, durable infrastructure that can scale without becoming a burden. Administrative work is everywhere, and while you’ve done it all, you’re strategic about what gets done by hand, what gets automated, and what gets skipped. We want someone who is excited about building a Controller role with an AI mindset.

Key Responsibilities

• Own the monthly and quarterly close process end-to-end: fast, clean, and built to get faster and cleaner over time.

• Treasury management: banking, runway, and cash controls.

• Maintain our GAAP-compliant financial statements with the depth and documentation to hold up under audit, investor diligence, or similar; while also ensuring that leaders have the specific information they need in a clear, accessible format.

• Own revenue recognition, with experience in SaaS.

• Run employee payroll (semi-monthly exempt workforce) in partnership with People Ops

• Handle vendor and contractor payments as well as cash impacts of employee payroll such as accruals, employer tax, etc.

• Maintain and manage our “actuals” infrastructure including Brex and expense reconciliation.

• Support the finance team in creating a tight feedback loop between forecasts and actuals, treating variance as a useful learning opportunity; but also raising risks effectively as needed.

• Lead relationships with external auditors, tax advisors, and accounting firms to make tax time and expected filings smooth and easy.

• Support board reporting and investor diligence with well-organized, clearly documented financials that tell a coherent story

• Evaluate and maintain our accounting systems and tooling; make deliberate choices about what to build, what to buy, and what to leave alone for now.

• Design and own end-to-end AP/AR processes

Required Qualifications

• 8–10 years (or equivalent) in accounting or controllership, including time at a high-growth startup and a foundation in public accounting or audit preferred. CPA strongly preferred. Healthcare accounting experience is a plus.

• Mastery of the fundamentals, applied in our context. You know what it takes to stay compliant as we scale, including what can wait without harming compliance or safety.

• Deep familiarity with ASC 606 in a SaaS or recurring revenue context. Bonus if you've worked through the accounting implications of variable or performance-based compensation structures.

• You've built for diligence before (venture, strategic, or audit).

• You design processes that are as light as the work allows, document them so they survive you, and resist complexity that doesn't earn its keep.

• Collaborative and transparent. You share your work early, communicate proactively when something is off, a trusted partner within finance and to the business.

Why Join Qualified Health?

This is an opportunity to join a fast-growing company and a world-class team, that is poised to change the healthcare industry. We are a passionate, mission-driven team that is building a category-defining product. We are backed by premier investors and are looking for founding team members who are excited to do the best work of their careers.

Our employees are integral to achieving our goals so we are proud to offer competitive salaries with equity packages, robust medical/dental/vision insurance, flexible working hours, hybrid work options and an inclusive environment that fosters creativity and innovation.

Our Commitment to Diversity

Qualified Health is an equal opportunity employer. We believe that a diverse and inclusive workplace is essential to our success, and we are committed to building a team that reflects the world we live in. We encourage applications from all qualified individuals, regardless of race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, marital status, disability, or veteran status.

Pay & Benefits

The pay range for this role is between $200,000 and $250,000, depending on skills, qualifications, experience, and location. This role is also eligible for equity, bonus, and benefits.

Join our mission to revolutionize healthcare with AI.