Controller - April 2026

Controller

Remote (Full Time) 

Compensation: $190,000 - $210,000

About Us 

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all  healthcare system. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.

Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.

Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.

Role Description 

Zócalo Health is hiring a Controller to join during a period of rapid growth and increasing operational complexity. This is a critical leadership role responsible for building and owning the company’s accounting foundation, ensuring audit readiness, and partnering closely with executive leadership as we scale.

The Controller will own the end-to-end accounting function, establish scalable systems and controls, and lead the company through its first annual audit. This role will play a key part in strengthening financial infrastructure, improving visibility, and supporting strategic decision-making.

This position reports to the Senior Vice President of Finance.

The Controller will contribute in the following ways:

• Own and lead the full accounting function, including AR/AP, general ledger, close, and financial reporting
• Lead the month-end and year-end close processes, delivering accurate, timely, and board-ready financials
• Prepare the company for and lead the first annual audit, including auditor coordination, documentation, and process readiness
• Design, implement, and enforce internal controls, accounting policies, and procedures to ensure GAAP compliance and audit readiness
• Partner cross-functionally with Finance and RCM on budgeting, forecasting, revenue recognition, and cash management
• Select, implement, and optimize accounting systems and tools to support scale
• Build scalable, automated processes to support a high-growth, fast-paced operating environment
• Own technical accounting matters, including revenue recognition and complex transactions as the business evolves

Qualifications

• 10+ years of progressive accounting experience, with at least 3+ years in a Controller or senior accounting leadership role
• Experience operating in a high-growth, early-stage company environment
• Strong knowledge of GAAP and experience preparing companies for audit
• Bachelor’s degree in Accounting or Finance; CPA strongly preferred
• Experience managing external audits and working with auditors
• Proficiency with accounting systems (e.g., NetSuite, QuickBooks), expense platforms (e.g., Ramp, Bill.com), and advanced Excel
• Familiarity with payroll and HRIS systems (e.g., Rippling, TriNet)
• Experience with multi-state compliance and tax considerations
• Strong cross-functional collaboration skills and ability to partner with executive leadership
• Ownership mindset with a focus on building, improving, and scaling systems and processes

Preferred Qualifications

• Experience leading a company through its first annual audit
• Experience in healthcare, managed care, or revenue cycle management environments
• Experience implementing NetSuite, QuickBooks, or similar ERP systems

What you can expect from Zócalo Health

• Equity compensation package
• Comprehensive benefits including medical, dental, and vision 
• 401k
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.