About 9amHealth

9amHealth is an AI-enabled virtual specialty care platform focused on managing high-cost chronic conditions at scale. The company partners with employers, health plans, and pharmacy benefit managers to deliver comprehensive, cost-effective medical care for individuals living with obesity, diabetes, hypertension, and dyslipidemia. Members receive access to specialized clinicians, including endocrinologists, obesity medicine specialists, and clinical pharmacists, at-home lab testing, prescription medications, and lifestyle support.

9amHealth was founded in 2021 and is backed by leading healthcare investors like Define Ventures, SemperVirens, 7Wire Ventures, and The Cigna Group Ventures.

Controller

The Controller is the first dedicated, in-house accounting leader at 9amHealth. You will own the accounting function end-to-end - chart of accounts, accounting principles, month-end close, reporting, tax compliance, 409A valuations, audit readiness and internal controls - as well as the relationship with our outsourced accounting partner and will progressively bring accounting in-house as we mature.

We are looking for an accountant who thinks like an operator first – both achieving tax and GAAP compliance and ensuring books serve as a strategic asset which enables business insight, analytics, and allows robust FP&A reporting & forecasting.

You will partner closely with both the CFO and Director of FP&A, present to the board of directors and own the relationship with our external auditors and our external tax firm.

Location: Remote - Full Time

What You’ll Do

Think like an operator, not a scorekeeper. Start from what the business needs the numbers to do. Design accounting that serves both GAAP rigor and that enables decision-making by the executive team need each week.

Drive the chart of accounts. Design, own, and maintain the chart of accounts as a strategic asset, structured to support audit-ready GAAP reporting AND the analytics, segmentation (by program, channel, BU, cohort), and forecasting needs of FP&A and business leaders. Maintain it as the company grows so that it continues to enable business insight.

Set the monthly close standard - Drive the fastest AI-assisted close (day 5< sustainably) across AR, AP, payroll, GL, accruals, reconciliations, and intercompany. Set the cadence and the bar.

Lead technical accounting - Ensure GAAP compliance in revenue recognition for our care model, stock-based compensation under ASC 718 and all other non-routine transactions. Draft robust and defensible accounting policies and memos addressing technical accounting issues.

Deliver decision-grade reporting - Produce monthly, quarterly, and ad-hoc financial reports that become the trusted base layer for FP&A's forecasts and the company’s board narrative. Use AI tooling (Claude, ChatGPT, AI-native ERP features) to draft commentary, summarize variances, and accelerate analysis — without compromising rigor or controls.

Own tax compliance - Manage federal, state, and local tax filings in partnership with our external tax firm, including corporate income tax, sales/use tax, payroll tax, multi-state nexus, R&D tax credits, and franchise tax. Own the external tax firm relationship, calendar, and quality of results.

Lead 409A valuations and equity compliance - Manage the annual (and event-driven) 409A process with our valuation firm. Coordinate with legal on equity issuances, ISO / NSO mechanics, ASC 718 stock comp expense, and equity-related disclosures.

Build controls and own audit readiness - Design and document scalable internal controls; build a SOX-ready posture; prepare workpapers; manage the external auditor relationship; deliver a clean audit.

Run the operating layer of finance - Manage the outsourced accounting relationship — drive quality, SLA, and progressive insourcing as we mature.

What You’ll Need

Business-first mindset - You start from "what does the business need this to do?" and work backwards to the accounting. You have strong commercial intuition and partner naturally with non-finance leaders - your output makes them sharper, not slower.