Controller

Happy Health is revolutionizing sleep medicine delivery through our comprehensive telehealth platform. We've eliminated the traditional barriers to sleep care – no more waiting months for appointments or spending uncomfortable nights in sleep labs. Our patients receive FDA-cleared home sleep testing via Happy Ring, connect with board-certified sleep specialists, and when required, begin evidence-based treatment within just 5 days. Ongoing physiological data monitoring with the Happy Ring enables real-time condition management, combination therapies, and drives measurable outcomes. 

Happy Ring represents the future of sleep diagnostics: an FDA-cleared medical device integrating advanced biometric sensors with AI-powered analysis to deliver highly accurate diagnostics and longitudinal management at home. For sleep medicine physicians, this means you'll have access to high-quality diagnostic data that empowers you to make confident clinical decisions for your patients, and integrate multimodal treatments that focus on root-cause solutions. 

The Controller will own the accounting function of a high-growth, health tech company. This role is responsible for building scalable financial infrastructure, ensuring accurate and timely reporting, and driving the operational rigor needed to support our next stage of growth. The ideal candidate brings 8–12 years of progressive accounting experience—including public accounting—and is ready to step into a hands-on leadership role in a dynamic startup environment. 

Key Responsibilities

Accounting Leadership & Close

• Own and manage the monthly, quarterly, and annual close processes, driving accuracy and timeliness
• Review and approve journal entries, account reconciliations, and supporting schedules
• Own accounting operations (i.e. Accounts payable, Accounts receivable, cash, etc)
• Lead coordination with external auditors and tax advisors for audit and tax processes

Revenue Recognition (ASC 606)

• Own the application of ASC 606 guidance across all revenue streams, including healthcare reimbursement revenue
• Develop and maintain revenue recognition schedules, deferred revenue and COGS tracking, and related controls
• Partner closely with operations and billing teams to ensure revenue is recorded accurately and consistently
• Establish and document revenue recognition policies and procedures

Intercompany & Multi-Entity Accounting

• Oversee intercompany transactions, reconciliations, and eliminations across all entities
• Ensure proper allocation of shared costs and revenue between related entities
• Maintain intercompany agreements and management fee documentation
• Experience with professional corporations in healthcare is a plus

Financial Reporting & Controls

• Prepare and deliver internal financial statements, board reporting packages, and variance analyses
• Develop, document, and enforce accounting policies, procedures, and internal controls
• Drive continuous improvement of close timelines and reporting reliability
• Ensure ongoing compliance with U.S. GAAP and evolving accounting standards

Systems, Processes & Development

• Lead implementation and optimization of accounting systems and tools (e.g., ERP, billing, payroll, expense platforms)
• Build scalable workflows and SOPs to support rapid company growth
• Evaluate and mentor accounting staff as the team grows; serve as a key resource across the finance organization
• Partner with the VP of Finance on strategic initiatives, investor reporting, and operational planning

Qualifications

 8–12 years of progressive accounting experience, including ownership of the full close cycle
Prior public accounting experience (Big 4 or national/regional firm strongly preferred)
CPA required
Deep knowledge of U.S. GAAP, including hands-on experience with ASC 606
Demonstrated experience with intercompany accounting and multi-entity structures
Proven track record leading month-end and year-end close processes
Strong leadership and communication skills; able to influence cross-functional stakeholders
Advanced Excel / Google Sheets proficiency
Ability to operate with autonomy and ownership in a fast-paced, high-growth environment
Preferred
Experience in healthcare, health tech, or SaaS
Familiarity with reimbursement-based revenue models (e.g., insurance billing, patient billing)
Prior experience as Controller or Assistant Controller at a startup or high-growth company
Experience implementing or working within modern accounting systems (e.g., Rillet, Ramp, Gusto)