Controller
Hippocratic AI, Palo Alto, CA, United States
About the Role
Hippocratic AI is looking for a Controller to lead the company’s accounting operations and financial reporting as we scale through a period of rapid growth, international expansion, and increasing operational complexity. This is a high-impact, foundational role that will build and own the financial control environment for a healthcare AI company operating across multiple geographies, revenue models, and regulatory frameworks.
You will be the accounting backbone of the organization — responsible for the integrity of the general ledger, month‑end close, revenue recognition, technical accounting, and audit readiness. As the company prepares for its next stage of growth (including potential IPO readiness), this role will be instrumental in establishing the processes, controls, and infrastructure to support public‑company‑caliber reporting.
Location Requirement
To support fast collaboration and a strong team culture, this role is expected to be in our Palo Alto office five days a week, unless otherwise specified.
What You’ll Do
Financial Reporting & Close
Own the end-to-end monthly, quarterly, and annual close process, ensuring accuracy and timeliness across all entities
Prepare and review GAAP‑compliant financial statements, including income statement, balance sheet, and cash flow
Drive continuous improvement of the close timeline, targeting a 5‑day hard close
Manage intercompany transactions and eliminations as the company expands internationally
Revenue Recognition & Technical Accounting
Lead ASC 606 revenue recognition for SaaS, usage‑based, and hybrid contract structures with health systems, payors, and pharma clients
Provide technical accounting guidance on complex transactions including equity compensation (ASC 718), leases (ASC 842), and capitalized software development costs (ASC 350‑40)
Research and document accounting positions for new and evolving business models, including the AI agent marketplace
Order-to-Cash, Customer Billing & Collections
Own the end-to-end order‑to‑cash cycle, including customer PO intake, contract‑to‑billing handoff, invoicing, billing dispute resolution, and cash application
Design and scale billing workflows across SaaS, usage‑based, milestone, and hybrid contract structures with health systems, payors, providers, and pharma/medtech customers
Partner with Deal Desk, Legal, and Revenue Operations so contract terms flow cleanly into billing and revenue systems (CPQ → billing → GL)
Drive AR aging improvements, manage dunning and collections escalation, and own DSO as a core KPI
Oversee customer credit reviews, bad‑debt reserve methodology, and write‑off governance
Administer customer master data, banking/remittance information, and customer‑specific compliance requirements (e.g., vendor onboarding packets, W‑9s, HIPAA/BAA attestations)
Procure‑to‑Pay & Accounts Payable
Own vendor onboarding, W‑9/W‑8 collection, sanctions screening, and vendor master data governance
Manage AP processing, three‑way match where applicable, approval workflows, and timely vendor payments via ACH, wire, check, and virtual card
Administer corporate card and T&E programs (e.g., Ramp, Navan, Rippling) and enforce travel & expense policy
Oversee 1099‑NEC / 1099‑MISC reporting and international contractor withholding/compliance
Partner with Procurement and Legal on vendor contract review, SaaS spend rationalization, and PO governance
Payroll, Equity & Compensation Accounting
Partner with People Operations to own payroll accuracy, funding, and reconciliation across US (multi‑state) and international entities and EORs
Run the monthly payroll accounting close, including accruals for bonus, commissions, PTO, severance, and benefits
Maintain equity compensation accounting (ASC 718), stock administration reconciliation (options, RSUs, ESPP), and cap table‑to‑ledger tie‑outs
Ensure accurate and timely accounting and remittance for 401(k), HSA/FSA, benefits, and garnishments
Partner with Sales Finance on commission plan accounting (ASC 340‑40) and clawback mechanics
Internal Controls & Audit
Design, implement, and maintain a robust internal control framework with an eye toward SOX readiness
Serve as the primary liaison with external auditors, managing the annual audit and any interim reviews
Develop and maintain accounting policies and procedures documentation
Ensure compliance with federal, state, and international tax filing requirements in coordination with external tax advisors
Team & Systems
Build, mentor, and lead the accounting team as the company scales headcount and complexity
Evaluate, select, and implement accounting systems and tools (ERP, AP automation, expense management) to support scale
Partner with FP&A, Legal, People Operations, and Revenue Operations to ensure seamless financial data flow and cross‑functional alignment
Support M&A due diligence and post‑acquisition integration from an accounting perspective
Strategic Finance Partnership
Partner with the CFO on board reporting, investor materials, and fundraising support
Provide financial insights and variance analysis to inform business decisions
Support IPO readiness workstreams including S‑1 preparation, SEC reporting, and public company accounting infrastructure
What You Bring
Must Have:
CPA required; active license strongly preferred
15+ years of progressive accounting experience, including Big 4 public accounting and in‑house corporate accounting roles
5+ years of experience as a Controller or Assistant Controller at a high‑growth technology company
Deep expertise in US GAAP, particularly ASC 606, ASC 718, and ASC 842
Experience managing the full audit cycle with Big 4 or national firms
Demonstrated ability to build internal controls and accounting processes from the ground up in a scaling environment
Experience with multi‑entity and multi‑currency accounting
Strong ERP experience
Excellent communication skills with the ability to translate complex accounting matters for non‑financial stakeholders
Nice to Have:
Experience at a venture‑backed company that has been through or is preparing for an IPO
SaaS industry experience
Experience with usage‑based or consumption‑based revenue models
Familiarity with international expansion accounting (transfer pricing, entity setup, statutory reporting)
Experience supporting M&A transactions from accounting due diligence through integration
Comfort operating in a fast‑paced, ambiguous environment where you build the playbook as you go
#J-18808-Ljbffr
Hippocratic AI is looking for a Controller to lead the company’s accounting operations and financial reporting as we scale through a period of rapid growth, international expansion, and increasing operational complexity. This is a high-impact, foundational role that will build and own the financial control environment for a healthcare AI company operating across multiple geographies, revenue models, and regulatory frameworks.
You will be the accounting backbone of the organization — responsible for the integrity of the general ledger, month‑end close, revenue recognition, technical accounting, and audit readiness. As the company prepares for its next stage of growth (including potential IPO readiness), this role will be instrumental in establishing the processes, controls, and infrastructure to support public‑company‑caliber reporting.
Location Requirement
To support fast collaboration and a strong team culture, this role is expected to be in our Palo Alto office five days a week, unless otherwise specified.
What You’ll Do
Financial Reporting & Close
Own the end-to-end monthly, quarterly, and annual close process, ensuring accuracy and timeliness across all entities
Prepare and review GAAP‑compliant financial statements, including income statement, balance sheet, and cash flow
Drive continuous improvement of the close timeline, targeting a 5‑day hard close
Manage intercompany transactions and eliminations as the company expands internationally
Revenue Recognition & Technical Accounting
Lead ASC 606 revenue recognition for SaaS, usage‑based, and hybrid contract structures with health systems, payors, and pharma clients
Provide technical accounting guidance on complex transactions including equity compensation (ASC 718), leases (ASC 842), and capitalized software development costs (ASC 350‑40)
Research and document accounting positions for new and evolving business models, including the AI agent marketplace
Order-to-Cash, Customer Billing & Collections
Own the end-to-end order‑to‑cash cycle, including customer PO intake, contract‑to‑billing handoff, invoicing, billing dispute resolution, and cash application
Design and scale billing workflows across SaaS, usage‑based, milestone, and hybrid contract structures with health systems, payors, providers, and pharma/medtech customers
Partner with Deal Desk, Legal, and Revenue Operations so contract terms flow cleanly into billing and revenue systems (CPQ → billing → GL)
Drive AR aging improvements, manage dunning and collections escalation, and own DSO as a core KPI
Oversee customer credit reviews, bad‑debt reserve methodology, and write‑off governance
Administer customer master data, banking/remittance information, and customer‑specific compliance requirements (e.g., vendor onboarding packets, W‑9s, HIPAA/BAA attestations)
Procure‑to‑Pay & Accounts Payable
Own vendor onboarding, W‑9/W‑8 collection, sanctions screening, and vendor master data governance
Manage AP processing, three‑way match where applicable, approval workflows, and timely vendor payments via ACH, wire, check, and virtual card
Administer corporate card and T&E programs (e.g., Ramp, Navan, Rippling) and enforce travel & expense policy
Oversee 1099‑NEC / 1099‑MISC reporting and international contractor withholding/compliance
Partner with Procurement and Legal on vendor contract review, SaaS spend rationalization, and PO governance
Payroll, Equity & Compensation Accounting
Partner with People Operations to own payroll accuracy, funding, and reconciliation across US (multi‑state) and international entities and EORs
Run the monthly payroll accounting close, including accruals for bonus, commissions, PTO, severance, and benefits
Maintain equity compensation accounting (ASC 718), stock administration reconciliation (options, RSUs, ESPP), and cap table‑to‑ledger tie‑outs
Ensure accurate and timely accounting and remittance for 401(k), HSA/FSA, benefits, and garnishments
Partner with Sales Finance on commission plan accounting (ASC 340‑40) and clawback mechanics
Internal Controls & Audit
Design, implement, and maintain a robust internal control framework with an eye toward SOX readiness
Serve as the primary liaison with external auditors, managing the annual audit and any interim reviews
Develop and maintain accounting policies and procedures documentation
Ensure compliance with federal, state, and international tax filing requirements in coordination with external tax advisors
Team & Systems
Build, mentor, and lead the accounting team as the company scales headcount and complexity
Evaluate, select, and implement accounting systems and tools (ERP, AP automation, expense management) to support scale
Partner with FP&A, Legal, People Operations, and Revenue Operations to ensure seamless financial data flow and cross‑functional alignment
Support M&A due diligence and post‑acquisition integration from an accounting perspective
Strategic Finance Partnership
Partner with the CFO on board reporting, investor materials, and fundraising support
Provide financial insights and variance analysis to inform business decisions
Support IPO readiness workstreams including S‑1 preparation, SEC reporting, and public company accounting infrastructure
What You Bring
Must Have:
CPA required; active license strongly preferred
15+ years of progressive accounting experience, including Big 4 public accounting and in‑house corporate accounting roles
5+ years of experience as a Controller or Assistant Controller at a high‑growth technology company
Deep expertise in US GAAP, particularly ASC 606, ASC 718, and ASC 842
Experience managing the full audit cycle with Big 4 or national firms
Demonstrated ability to build internal controls and accounting processes from the ground up in a scaling environment
Experience with multi‑entity and multi‑currency accounting
Strong ERP experience
Excellent communication skills with the ability to translate complex accounting matters for non‑financial stakeholders
Nice to Have:
Experience at a venture‑backed company that has been through or is preparing for an IPO
SaaS industry experience
Experience with usage‑based or consumption‑based revenue models
Familiarity with international expansion accounting (transfer pricing, entity setup, statutory reporting)
Experience supporting M&A transactions from accounting due diligence through integration
Comfort operating in a fast‑paced, ambiguous environment where you build the playbook as you go
#J-18808-Ljbffr