Senior Financial Controller (Health Tech Client)

Position Overview

BruntWork is seeking a Senior Financial Controller for our client based in California, USA. In this role, you will lead all accounting operations, financial reporting, and internal controls. You will play a critical role to ensure accuracy, compliance (including healthcare-related regulations), and scalability of financial processes. You are someone that brings a mix of technical accounting expertise, healthcare or health tech experience, and a proactive, systems-oriented mindset. This position will require doing day-to-day operation work (ie. AP, AR, payroll), month-end close (ie. bank reconciliations, balance sheet reconciliations, month-end journal entries, creating month-end package along with month-over-month variance analysis). You will report to the Chief Accounting Officer and will have one part-time Accounting Manager reporting to them.

 

Key Responsibilities

Accounting & Financial Reporting

• Perform day-to-day operations including but not limited to:
  • Coding bank and credit card transactions
  • Accounts payable
  • Accounts receivable
  • Payroll
  • Employee expense reimbursements
  • Updating and managing prepaids, accruals and fixed asset schedules
  • Intercompany journal entries
• Perform and oversee the monthly, quarterly, and annual close process
• Ensure timely and accurate financial statements in accordance with GAAP
• Maintain the general ledger and supporting schedules
• Lead revenue recognition, including complex arrangements (e.g., SaaS, value-based care models)

 

Compliance & Controls

• Establish and maintain a strong internal control environment (SOX-ready, if applicable)
• Ensure compliance with healthcare-related financial regulations and reporting requirements
• Support audit readiness and manage external audits
• Maintain policies and procedures documentation

 

Healthcare & Data Considerations

• Oversee accounting for healthcare-specific items such as claims, reimbursements, and payer contracts
• Partner with operations on revenue cycle and data integrity (e.g., claims, billing, collections)
• Ensure proper handling of sensitive financial data in alignment with privacy frameworks such as HIPAA (in coordination with compliance/security teams)

 

Process Improvement & Systems

• Build scalable accounting processes to support company growth
• Evaluate and implement accounting systems and automation tools
• Drive continuous improvement in close timelines and reporting accuracy
  

 

Team Leadership

• Build, manage, and mentor the accounting team
• Foster a culture of accountability, collaboration, and continuous improvement

 

Cross-Functional Collaboration

• Partner with FP&A, operations, legal, and executive leadership
• Support strategic initiatives, including fundraising, due diligence, and expansion

 

Qualifications

• Bachelor’s degree in Accounting or Finance (CPA strongly preferred)
• 6–10+ years of progressive accounting experience (mix of public accounting and industry preferred)
• Experience in healthcare, health tech, tech or SaaS environments
• Strong knowledge of GAAP, revenue recognition, and internal controls
• Experience with audit processes and financial compliance
• Familiarity with healthcare billing, claims, or reimbursement models is a plus
• Experience with ERP systems (e.g., QBO) and financial tools (e.g. BILL.com, Brex, Rippling, Slack)

Key Competencies

• Strong attention to detail and ownership mindset
• Willingness to get into the details of day-to-day operations and also be strategic
• Ability to operate in a fast-paced, evolving environment
• Excellent communication and leadership skills
• Systems thinker with a focus on scalability and automation