Controller / Director of Accounting

The Role
Arine is looking for a Controller / Director of Accounting to own and scale the company's accounting operations. Reporting to the CFO, you will lead the accounting team and be responsible for financial reporting, month-end close, audit management, and compliance. This is a hands-on leadership role where you will both manage a team and get into the details as needed.

This is a high-impact opportunity to build the accounting foundation for a venture-backed, high-growth healthcare AI company. You will partner closely with FP&A, People Operations, and external advisors to ensure Arine's financial infrastructure supports its next stage of growth.

What You'll Be Doing:
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, in particular related to revenue recognition and forecasting in collaboration with FP&A
• 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

Team Leadership

• Manage and develop team members
• Set clear expectations, provide regular feedback, and invest in the professional growth of each team member
• Partner cross-functionally with FP&A, People Operations, Clinical Operations, and Client Success to support company initiatives

Who You Are and What You Bring:

• 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 technical accounting areas such as revenue recognition (ASC 606), stock-based compensation (ASC 718), and lease accounting (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; you can explain technical accounting concepts to non-finance stakeholders
• Self-starter who thrives in a fast-paced, resource-constrained environment and is comfortable operating as both a leader and an individual contributor

Travel and Other Information:

• This is a hybrid role based in San Francisco, with an expectation of in-office presence at least two days per week

Remote Work Requirements:

• An established private work area that ensures information privacy
• A stable high-speed internet connection for remote work

Perks:

Joining Arine offers you a dynamic role and the opportunity to contribute to the company's growth and shape its future. You'll have unparalleled learning and growth prospects, collaborating closely with experienced Clinicians, Engineers, Software Architects, and Digital Health Entrepreneurs.

The posted range represents the expected salary for this position and does not include any other potential components of the compensation package (including bonus and equity), benefits, and perks. Ultimately, the final pay decision will consider factors such as your experience, job level, location, and other relevant job-related criteria. The salary range for this position is: $180,000-200,000/year.