Controller, Accounting, Financial Reporting

About Exa Care AI

Exa Care AI is a leading health tech company on a mission to build the AI operating system for post-acute care. Our platform turns messy, unstructured referral packets into clear clinical insights and next steps, so teams can make faster, safer placement decisions with less administrative burden. Today, Exa Care AI powers more than 1,500 facilities, and is growing rapidly.

We recently raised a $30M Series A led by Insight Partners, and are bringing world-class talent together to transform healthcare. If you like building, learning, and want to make a real impact, come join us!

As Controller, you will own our accounting foundation and financial integrity. You will lead the monthly close, technical accounting, compliance, and core finance operations that enable fast, confident decisions. You will partner closely with the CEO, Rev Ops, and cross-functional leaders to ensure our numbers are accurate, timely, and decision-ready. This role reports to the CEO and manages our external accounting partners and contractors.

• Own the close:
  Drive a fast, accurate monthly close with continuous improvement toward a 5‑day close. Prepare monthly financial statements, flux analyses, and management reporting.
• Technical accounting:
  Establish and maintain policies for revenue recognition.
• Controls and compliance:
  Design and operate internal controls across order to cash, procure to pay, and record to report.
• Revenue operations alignment:
  Partner with sales and Rev Ops to ensure accurate quoting, billing, and collections. Implement pricing and discount governance within systems and policies.
• Order to cash:
  Oversee invoicing, accounts receivable, collections, and credit. Improve DSO and cash predictability.
• Procure to pay:
  Implement vendor onboarding, approval workflows, contract and renewal calendars, and spend controls that reduce leakage and shadow IT.
• Payroll and equity:
  Ensure accurate multi-jurisdiction payroll and benefits accounting. Maintain cap table hygiene and stock‑based compensation accounting in coordination with legal and HR.
• Systems and data:
  Uplevel our ERP and related tools. Lead or support a Net Suite or similar ERP implementation. Ensure financial data is the source of truth across billing, CRM, and BI.
• Treasury and cash:
  Maintain cash forecasting, banking administration, and payment controls. Optimize vendor terms and support investment policy recommendations.
• Budget vs actuals enablement:
  Provide clean actuals, dimensions, and reconciliations that enable forecasting, monthly budget vs actuals, and unit economics analyses.
• Strategic projects:
  Support fundraising diligence, pricing and packaging changes, partnerships, and potential debt facilities.

• 3+ years in accounting and finance.
• CPA or equivalent strongly preferred. Public accounting foundation helpful.
• Mastery of US GAAP and ASC 606. Exposure to IFRS and multi‑entity or cross‑border operations is a plus.
• Proven ownership of a fast monthly close, financial statements, and audit preparation.
• Systems savvy. Advanced Excel or Google Sheets. Experience with ERP such as Net Suite or Quick Books.
• Process builder mindset. Ability to design lightweight processes that scale, with strong documentation and communication skills.

• Competitive salary and equity in a high‑growth startup.
• Flexible PTO, take what you need.
• Medical, dental, and vision coverage.
• Great startup culture, including company off‑sites.
• High‑achieving team, including ex‑Amazon engineers and alumni of Bain, BCG, Goldman Sachs, and more.

• Impact – We are committed to being a force for good and leaving a lasting, meaningful impact on society.
• Accountability – We are accountable to each other and the communities in which we operate. We take ownership of our mistakes and hold ourselves accountable for delivering on our promises.
• Ownership – We give everyone ownership of their tasks and projects and encourage proactive problem‑solving.
• Sense of Urgency – We value speed and efficiency, continuously improving processes and finding ways to do things faster without sacrificing quality.
• Answer First – We value proactive problem‑solving by bringing proposed answers to discussions.

If this sounds like you, we'd love to have a chat!