Financial Comptroller - Remote

We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.

Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.

Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. and selected as a LinkedIn Top Startup in 2024 and 2025. We 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. for this role, we are prioritizing candidates based in (or willing to relocate to) the SF Bay Area for a 'hybrid' in-office working structure.

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.

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.

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.

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.

Experience leading a company’s annual audit at a venture‑backed company (Series B‑D).

Healthcare or SaaS revenue recognition experience.

The base compensation for this role is approximately $230,000 to $270,000 per year, excluding equity or bonus targets. The range is intentionally broad to allow candidates flexibility in choosing the cash and equity mix that fits their needs. We place strong emphasis on meaningful equity grants so that contributors share directly in the value they help create.

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.

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. Comprehensive medical, dental, and vision coverage for you and your dependents

A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.

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.

Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at View email address on click.appcast.io.