Akido
Controller
California
Sponsorship not specified$230k-$250kDetected 7 days ago
Design SystemsFinancial AnalysisAccountingFP&AERPFinancial Reporting
About the role
- As we scale through acquisitions, partnerships, and launch new markets, the complexity of our financial operations is increasing rapidly.
- This is not a traditional Controller role.
- This role reports to the CFO and is the senior most accounting position in the company.
Responsibilities
- Lead the company through its first financial audit in 2026, including readiness, controls, and external auditor management
- Design and implement a unified multi‑entity consolidation and reporting model that can scale from today's footprint to 2-3x the current number of entities and states, inclusive of inter-company transactions.
- Own the accounting systems architecture across the group (ERP, subledgers, payroll, T&E, banking, and billing/RCM), ensuring clean data flow and a single source of truth for financial reporting.
- Own and reduce the monthly close timeline (currently ~20 days) through process, systems, and team improvements
- Drive the transition to a modern ERP system (e.g., Rillet), including implementation, migration, and integration with billing, capitation, and operational systems
- Build and manage core accounting functions, including AP, payroll, treasury, expense management, and tax, overseeing and developing a team of ~10 while remaining hands-on
- Partner closely with revenue cycle management (RCM) and billing teams to ensure accurate revenue recognition, cash reconciliation, and alignment between operational and financial reporting
- Partner with FP&A, operations, and market leaders to ensure financial reporting reflects business reality across entities and geographies
- Lead and mentor a geographically dispersed accounting team through a period of significant change, raising the bar on technical skills, ownership, and process discipline.
- Build a culture of documentation and continuous improvement, including developing SOPs, checklists, and playbooks for recurring processes (close, reconciliations, A/P, payroll, etc.).
Requirements
- Direct experience in a roll-up or multi-entity environment, ideally integrating acquired businesses into a centralized accounting function
- Proven track record of improving close timelines, implementing systems, and upgrading accounting infrastructure in a high-growth environment
- Strong technical accounting foundation, with the ability to navigate complexity across entities, states, and revenue streams
- Comfort working with modern tools and data environments (e.g., cloud ERP, embedded analytics/BI, workflow tools) and partnering with engineering or data teams to improve data quality.
Nice to have
- Prior exposure to risk‑bearing entities or value‑based care arrangements is strongly preferred.
Compensation
- $230,000 - $250,000 USD
Benefits
- Stock-options package
- Health benefits include medical, dental and vision
- Long-term disability
- Life insurance
- Paid Leave Program
- Lead the integration of newly acquired healthcare service businesses, ranging in size from $1M-$100M revenue, into a unified accounting and reporting structure
- Ensure compliance with healthcare‑specific regulatory and reporting requirements (e.g., state health departments, payor contracts, risk‑bearing entity reporting) in partnership with Legal and Compliance.
- Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal.
- We are building an AI-native, national healthcare network.
- 10+ years of accounting experience, including experience as a Controller (or equivalent) in a healthcare services organization
- Deep familiarity with healthcare revenue models, including fee-for-service billing, capitation/PMPM, delegated or global risk arrangements, and other value-based care structures
Company info
- building the accounting infrastructure and systems that allow the business to scale with confidence.
- You will be responsible for stitching together a fragmented set of entities, revenue models, and workflows into a unified, high-quality financial system.
- You will partner deeply with operational and finance leaders across the organization to ensure our books reflect how the business actually runs-and enable faster, better decision-making.
- Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform.
Equal opportunity
- Akido Labs, Inc. is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
- equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
This listing is sourced directly from Akido's careers page and normalized into a canonical job model.