Controller

Lemonaid Health; St. Louis (MO); Hybrid; USD 110,000 - 170,000; Full time

Job summary

Lemonaid Health in St. Louis, MO is seeking a hands-on Controller to lead day‑to‑day accounting and own the integrity of financial reporting. You will manage the general ledger, month‑end close, cash, accounts payable, payroll, and cost of goods, while partnering with the CFO and leadership to strengthen processes as we scale.

This role is hands‑on today with potential to build and lead a broader accounting function over time, requiring strong GAAP knowledge and cross‑functional collaboration.

Qualifications

• 7+ years of progressive accounting experience with heavy close ownership
• Experience as Controller, Assistant Controller, or Accounting Manager
• Strong knowledge of U.S. GAAP and full-cycle accounting
• Experience with accruals, prepaids, payroll and benefits
• Inventory and cost of goods accounting experience preferred
• Advanced Excel and large data set handling
• Ability to communicate financial insights to executives
• Bachelor’s degree in Accounting/Finance or related field

Responsibilities

• Own monthly, quarterly, and annual close processes, including journal entries and reconciliations
• Maintain complete documentation for audit trails and supporting schedules
• Maintain general ledger integrity for income statement and balance sheet
• Direct accounts payable, vendor setup, approvals, and weekly payments
• Manage cash activity and working capital visibility
• Partner with leaders to identify accruals, commitments, and end-of-period needs
• Own accounting for inventory and cost of goods sold
• Support reporting, variance analysis, and financial forecasting
• Maintain and improve accounting policies, controls, and procedures
• Identify opportunities to automate and scale accounting processes
• Support audit, tax, and compliance requirements as needed

Skills

GAAP knowledge

Excel skills

Analytical thinking

Independent worker

Communication to executives

Fast-moving environment

Education

Bachelor’s degree in Accounting/Finance

Tools

QuickBooks

Ramp

Rippling

Stripe

AWS QuickSight

Job description

Lemonaid Health is a mission driven technology startup committed to providing quality and affordable healthcare to patients nationwide. We build long term relationships with patients by offering a broad range of primary care services to help them lead happier, healthier lives.

About the role

We’re seeking a hands‑on Controller to lead the day‑to‑day accounting function and own the integrity of the company’s financial reporting, ensuring it is accurate, timely, and well‑controlled.

This role will own the general ledger and month‑end close process, including balance sheet management, cash, accounts payable, payroll and benefits accounting, accruals, prepaids, and cost of goods. The Controller will work closely with the CFO, Finance, and functional leaders to ensure transactions are recorded appropriately, financial reporting is reliable, and accounting processes and controls continue to improve as the business scales.

This is a hands‑on role today, with the opportunity to build and lead the broader accounting function over time.

What you’ll do

• Own the monthly, quarterly, and annual close process, including journal entries, accruals, prepaids, payroll and benefits entries, reconciliations, and supporting schedules
• Maintain complete and organized supporting documentation for journal entries, reconciliations, accruals, and other accounting activity to ensure a clear audit trail and appropriate support for recorded transactions
• Maintain the general ledger and ensure the integrity and accuracy of both the income statement and balance sheet
• Directly manage accounts payable, including invoice processing, vendor setup, approvals, and weekly payment runs
• Manage cash activity and support visibility into cash balances, upcoming obligations, and working capital needs
• Partner with executive and functional leaders to identify accruals, commitments, and other period‑end accounting requirements
• Own accounting for inventory and cost of goods sold, including raw materials and finished goods
• Partner with Finance on reporting, variance analysis, forecasting, and other financial analysis
• Maintain and improve accounting policies, close documentation, internal controls, and operating procedures
• Identify opportunities to improve, automate, and scale accounting processes
• Support audit, tax, and other accounting and compliance requirements as needed

Qualifications

• 7+ years of progressive accounting experience, including significant ownership of the monthly close and general ledger
• Prior experience as a Controller, Assistant Controller, Accounting Manager, or similar hands‑on accounting leadership role
• Strong knowledge of U.S. GAAP and experience managing both income statement and balance sheet accounting
• Demonstrated experience with accruals, prepaids, payroll and benefits accounting, accounts payable, cash, and account reconciliations
• Experience with inventory and cost of goods accounting, including raw materials and finished goods, strongly preferred
• Advanced Excel skills and the ability to work effectively with large and complex data sets
• Strong analytical judgment with the ability to identify issues, understand financial impacts, and communicate key takeaways clearly to executive leadership
• Ability to operate independently, manage competing priorities, and work effectively in a fast‑moving environment
• Experience with systems such as QuickBooks, Ramp, Rippling, Stripe, or AWS QuickSight is helpful but not required
• Bachelor’s degree in Accounting, Finance, or a related field