
Controller / Director of Accounting
Arine, San Francisco, CA, United States
About the Company
Arine — a rapidly growing healthcare technology and clinical services company headquartered in San Francisco — combines data science, machine learning, AI, and deep clinical expertise to improve medication management for complex patients. By delivering personalized care plans at scale, Arine helps reduce waste, harm, and hospitalizations in the U.S. healthcare system.
The Role
The Controller / Director of Accounting will lead the accounting team and oversee financial reporting, month‑end close, audit management, and compliance for a high‑growth, venture‑backed healthcare AI company. This leadership role requires both strategic oversight and hands‑on involvement in day‑to‑day accounting processes.
Responsibilities Financial Reporting and Close Own the monthly close process, ensuring accurate and timely financial statements in accordance with US GAAP. Ensure timely and accurate customer invoicing aligned to contract terms, revenue recognition under ASC 606, and monthly revenue forecasting. Monitor cash position, manage cash flow forecasting, and oversee banking relationships. Prepare and review journal entries, account reconciliations, and flux analyses. Produce board‑ready financial reporting packages and support investor and lender reporting requirements. Manage technical accounting matters including ASC 606 (revenue recognition for SaaS contracts), ASC 718 (stock‑based compensation), and ASC 842 (leases); support equity transaction accounting and cap table reconciliation.
Audit, Tax, and Compliance Serve as the primary point of contact for external auditors and manage the annual audit process from planning through completion. Coordinate with external tax advisors on federal and multi‑state income tax filings, R&D tax credits, sales tax compliance, and payroll tax matters across all states where Arine operates. Ensure compliance with all regulatory and statutory reporting requirements.
Internal Controls and Process Improvement Own the accounting technology stack, including NetSuite (ERP), Rippling (payroll and expense management), Tipalti (AP), and supporting integrations. Identify and implement process improvements and automation opportunities across the accounting function, particularly in revenue recognition and forecasting. Develop and maintain accounting policies and procedures that scale with the business. Design, document, and maintain internal controls over financial reporting appropriate for a growth‑stage company. Manage and develop team members, set clear expectations, provide regular feedback, and invest in professional growth. Partner cross‑functionally with FP&A, People Operations, Clinical Operations, and Client Success to support company initiatives.
Qualifications 10+ years of progressive accounting experience, including at least 3 years in a supervisory or management role. CPA required. Public accounting experience (Big 4 or national firm) strongly preferred. Deep knowledge of US GAAP, including ASC 606, ASC 718, and ASC 842. Experience managing external audits from planning through completion. Hands‑on experience with NetSuite or comparable ERP systems. Prior experience at a venture‑backed, high‑growth technology or SaaS company preferred. Healthcare industry experience is a plus but not required. Strong analytical skills with the ability to distill complex accounting issues into clear, actionable recommendations. Comfortable leveraging AI (Claude, Gemini, etc.) to increase productivity. Excellent written and verbal communication skills; can explain technical accounting concepts to non‑finance stakeholders. Self‑starter who thrives in a fast‑paced, resource‑constrained environment and can operate as both a leader and an individual contributor.
Additional Details Hybrid role based in San Francisco; expected in‑office presence at least two days per week. Remote work requires an established private workspace and a stable high‑speed internet connection. Salary range: $180,000–200,000 per year (excluding bonus, equity, benefits, and perks).
Job Requirements Ability to pass a background check. Must live in and be eligible to work in the United States.
EEO Statement
Arine is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are treated with fairness and respect. We do not discriminate on the basis of race, ethnicity, color, religion, gender, sexual orientation, age, disability, or any other legally protected status. Our hiring decisions and employment practices are based solely on qualifications, merit, and business needs. We encourage individuals from all backgrounds to apply and join us in our mission.
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Arine — a rapidly growing healthcare technology and clinical services company headquartered in San Francisco — combines data science, machine learning, AI, and deep clinical expertise to improve medication management for complex patients. By delivering personalized care plans at scale, Arine helps reduce waste, harm, and hospitalizations in the U.S. healthcare system.
The Role
The Controller / Director of Accounting will lead the accounting team and oversee financial reporting, month‑end close, audit management, and compliance for a high‑growth, venture‑backed healthcare AI company. This leadership role requires both strategic oversight and hands‑on involvement in day‑to‑day accounting processes.
Responsibilities Financial Reporting and Close Own the monthly close process, ensuring accurate and timely financial statements in accordance with US GAAP. Ensure timely and accurate customer invoicing aligned to contract terms, revenue recognition under ASC 606, and monthly revenue forecasting. Monitor cash position, manage cash flow forecasting, and oversee banking relationships. Prepare and review journal entries, account reconciliations, and flux analyses. Produce board‑ready financial reporting packages and support investor and lender reporting requirements. Manage technical accounting matters including ASC 606 (revenue recognition for SaaS contracts), ASC 718 (stock‑based compensation), and ASC 842 (leases); support equity transaction accounting and cap table reconciliation.
Audit, Tax, and Compliance Serve as the primary point of contact for external auditors and manage the annual audit process from planning through completion. Coordinate with external tax advisors on federal and multi‑state income tax filings, R&D tax credits, sales tax compliance, and payroll tax matters across all states where Arine operates. Ensure compliance with all regulatory and statutory reporting requirements.
Internal Controls and Process Improvement Own the accounting technology stack, including NetSuite (ERP), Rippling (payroll and expense management), Tipalti (AP), and supporting integrations. Identify and implement process improvements and automation opportunities across the accounting function, particularly in revenue recognition and forecasting. Develop and maintain accounting policies and procedures that scale with the business. Design, document, and maintain internal controls over financial reporting appropriate for a growth‑stage company. Manage and develop team members, set clear expectations, provide regular feedback, and invest in professional growth. Partner cross‑functionally with FP&A, People Operations, Clinical Operations, and Client Success to support company initiatives.
Qualifications 10+ years of progressive accounting experience, including at least 3 years in a supervisory or management role. CPA required. Public accounting experience (Big 4 or national firm) strongly preferred. Deep knowledge of US GAAP, including ASC 606, ASC 718, and ASC 842. Experience managing external audits from planning through completion. Hands‑on experience with NetSuite or comparable ERP systems. Prior experience at a venture‑backed, high‑growth technology or SaaS company preferred. Healthcare industry experience is a plus but not required. Strong analytical skills with the ability to distill complex accounting issues into clear, actionable recommendations. Comfortable leveraging AI (Claude, Gemini, etc.) to increase productivity. Excellent written and verbal communication skills; can explain technical accounting concepts to non‑finance stakeholders. Self‑starter who thrives in a fast‑paced, resource‑constrained environment and can operate as both a leader and an individual contributor.
Additional Details Hybrid role based in San Francisco; expected in‑office presence at least two days per week. Remote work requires an established private workspace and a stable high‑speed internet connection. Salary range: $180,000–200,000 per year (excluding bonus, equity, benefits, and perks).
Job Requirements Ability to pass a background check. Must live in and be eligible to work in the United States.
EEO Statement
Arine is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are treated with fairness and respect. We do not discriminate on the basis of race, ethnicity, color, religion, gender, sexual orientation, age, disability, or any other legally protected status. Our hiring decisions and employment practices are based solely on qualifications, merit, and business needs. We encourage individuals from all backgrounds to apply and join us in our mission.
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