Controller/Director of Accounting

About Boulder
Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017 by CEO Stephanie Strong, our mission is to improve the lives of people with substance use disorders through compassionate, evidence-based care.

We provide Boulder patients with a fully virtual, multidisciplinary care team—including medical providers and peer recovery specialists—who deliver personalized treatment, including medication-assisted treatment (MAT) and ongoing support. Our approach is grounded in clinical excellence, patient-centered care, and a commitment to reducing barriers to recovery. Boulder partners with leading health plans, employers, and community organizations to ensure that our services are accessible and covered for the people who need them most.

Named by Fortune as one of the Best Workplaces in Healthcare, Boulder fosters a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward.

About this role 

We are seeking a Controller to serve as the Head of Accounting and a key financial leader within Boulder Care. This role will own the integrity of our financial operations, ensuring accurate reporting, strong internal controls, and full compliance with audit and tax requirements.

The Controller will also play a critical role in preparing the company for scale, including supporting debt and equity financing activities, and building the accounting infrastructure needed for a high-growth healthcare organization.

Success in this role

Accounting & Financial Reporting

• Own the monthly, quarterly, and annual close processes, ensuring timely and accurate financial statements in accordance with GAAP
• Maintain the integrity of the general ledger and all supporting systems
• Develop and enforce accounting policies, procedures, and documentation
• Partner with FP&A to support budgeting, forecasting, and variance analysis

Internal Controls & Compliance

• Design, implement, and continuously improve internal controls across all financial processes
• Ensure compliance with healthcare regulatory requirements, GAAP, and applicable state/federal laws
• Lead audit readiness efforts and serve as the primary liaison with external auditors
• Oversee tax compliance, filings, and coordination with external tax advisors

Revenue & Healthcare-Specific Accounting

• Oversee revenue recognition processes, ensure accurate accounting for complex healthcare billing and telemedicine revenue streams
• Partner with operations and revenue cycle teams to improve financial visibility and controls

Strategic Finance & Capital Readiness

• Support debt and equity financing activities
• Ensure financial statements and processes meet institutional investor and lender expectations
• Build scalable financial systems and processes to support rapid growth

Systems & Process Optimization

• Evaluate and implement accounting systems and tools to improve efficiency and scalability
• Drive automation and process improvements across accounting workflows

Team Leadership

• Build, manage, and mentor the accounting team as the company grows
• Foster a culture of accountability, accuracy, and continuous improvement

 

Requirements for the role

• Bachelor’s degree in Accounting, Finance, or related field (CPA strongly preferred)
• 8+ years of progressive accounting experience, including leadership roles
• Experience in healthcare, telehealth, or a regulated industry strongly preferred
• Strong knowledge of GAAP, internal controls, and audit processes
• Experience supporting audits and managing external auditor relationships
• Exposure to venture-backed startups and/or high-growth environments
• Experience supporting fundraising (debt and/or equity) is highly preferred
• Familiarity with healthcare revenue cycle and reimbursement models is a plus

Work environment

• This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, CA, CO, FL, GA, ID, IL, KY, MA, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, WA, and WV.
• Changes to working location require pre-approval from People Operations and are not guaranteed.
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over spo