About the roleWe are hiring a Controller to build a scalable, best-in-class accounting function. You will own the monthly close, internal controls, accounting policy, tax compliance, treasury, and compliance, and you will own Ambience's annual external audit. You will partner closely with the VP Finance to shape our financial strategy and serve as the senior accounting voice across the company. This is a hands-on, build-from-the-ground-up role for someone who wants to set the standard for how a high-growth company keeps trustworthy books.
Please note: for this role, SF Bay Area is preferred, however the team is open to candidates based across the USA who would be willing to travel to SF for occasional in-office work (approx 1-3x/quarter).
What you'll do- Own U.S. GAAP-compliant financial statements and the monthly close, bringing process in-house and making it scalable.
- Own the annual external audit - preparation, execution, documentation, controls, and reconciliations - and serve as primary auditor liaison.
- Establish core accounting policies: revenue recognition (ASC 606), expense management, capitalization, and lease accounting (ASC 842).
- Own indirect tax compliance including multi-state SaaS nexus analysis, registration, and remittance. Manage the relationship with external tax advisors for federal and state income tax provision and filings.
- Own treasury operations including cash management, disbursements, and bank relationships.
- Evaluate and implement accounting systems and automation; streamline the end-to-end order-to-cash process with the deal desk.
- Build and lead the accounting team, and manage the outsourced accounting partner (Attivo) for bookkeeping, review, and reconciliation.
- Partner with finance and operations on variance analysis, pipeline-to-ARR tracking, and MD&A for leadership and the Board.
- Partner with the VP Finance on financial strategy, reporting to the Board, and building the infrastructure to support Ambience's next phase of growth.
- Collaborate cross-functionally with Legal, Deal Desk, People, and Product to ensure accounting treatment keeps pace with new contract structures, headcount growth, and product launches.
What you'll bring- 8+ years of progressive accounting experience, including at least 2 years in a Controller or Assistant Controller role at a high-growth or venture-backed company.
- Deep U.S. GAAP expertise, including revenue recognition (ASC 606), stock-based compensation, and capitalization.
- Demonstrated experience leading or supporting an external audit and standing up internal controls.
- A track record building scalable close processes and selecting or implementing accounting systems.
- Strong cross-functional communication; able to translate accounting into clear narratives for non-finance partners, leadership, and the Board.
- CPA required. Big 4 or national firm public accounting experience strongly preferred.
Nice to have- Experience leading a company's annual audit at a venture-backed company (Series B-D).
- Familiarity with NetSuite or a comparable ERP and modern close tooling.
- Healthcare or SaaS revenue recognition experience.
Life at Ambience Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
- Work on mission-critical AI technology that directly improves clinicians' day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
- Join a "dream team" culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
- Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
- Comprehensive medical, dental, and vision coverage for you and your dependents
- 401(k) with a company match of up to 3% of base salary
- A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you're based.
- Parental leave to support your family needs
- Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
- Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24-January 1 designed to support real rest and long-term sustainability.
