About the role
About Us Hippocratic AI is the leading generative AI company in healthcare. We have the only system that can have safe, autonomous, clinical conversations with patients. We have trained our own LLMs as part of our Polaris constellation, resulting in a system with over 99.9% accuracy. Why Join Our Team Reinvent healthcare with AI that puts safety first. We’re building the world’s first healthcare‑only, safety‑focused LLM — a breakthrough platform designed to transform patient outcomes at a global scale. This is category creation. Work with the people shaping the future. Hippocratic AI was co‑founded by CEO Munjal Shah and a team of physicians, hospital leaders, AI pioneers, and researchers from institutions like El Camino Health, Johns Hopkins, Washington University in St. Louis, Stanford, Google, Meta, Microsoft, and NVIDIA. Backed by the world’s leading healthcare and AI investors. We recently raised a $126M Series C at a $3.5B valuation, led by Avenir Growth, bringing total funding to $404M with participation from CapitalG, General Catalyst, a16z, Kleiner Perkins, Premji Invest, UHS, Cincinnati Children’s, WellSpan Health, John Doerr, Rick Klausner, and others. Build alongside the best in healthcare and AI. Join experts who’ve spent their careers improving care, advancing science, and building world‑changing technologies — ensuring our platform is powerful, trusted, and truly transformative. Location Requirement We believe the best ideas happen together. To support fast collaboration and a strong team culture, this role is expected to be in our Palo Alto office five days a week, unless otherwise specified. About the Role Hippocratic AI is looking for a Controller to lead the company’s accounting operations and financial reporting as we scale through a period of rapid growth, international expansion, and increasing operational complexity. This is a high-impact, foundational role that will build and own the financial control environment for a healthcare AI company operating across multiple geographies, revenue models, and regulatory frameworks. You will be the accounting backbone of the organization — responsible for the integrity of the general ledger, month-end close, revenue recognition, technical accounting, and audit readiness. As the company prepares for its next stage of growth (including potential IPO readiness), this role will be instrumental in establishing the processes, controls, and infrastructure to support public-company-caliber reporting. What You'll Do Financial Reporting & Close Own the end-to-end monthly, quarterly, and annual close process, ensuring accuracy and timeliness across all entities Prepare and review GAAP-compliant financial statements, including income statement, balance sheet, and cash flow Drive continuous improvement of the close timeline, targeting a 5-day hard close Manage intercompany transactions and eliminations as the company expands internationally Revenue Recognition & Technical Accounting Lead ASC 606 revenue recognition for SaaS, usage-based, and hybrid contract structures with health systems, payors, and pharma clients Provide technical accounting guidance on complex transactions including equity compensation (ASC 718), leases (ASC 842), and capitalized software development costs (ASC 350-40) Research and document accounting positions for new and evolving business models, including the AI agent marketplace Order-to-Cash, Customer Billing & Collections Own the end-to-end order-to-cash cycle, including customer PO intake, contract-to-billing handoff, invoicing, billing dispute resolution, and cash application Design and scale billing workflows across SaaS, usage-based, milestone, and hybrid contract structures with health systems, payors, providers, and pharma/medtech customers Partner with Deal Desk, Legal, and Revenue Operations so contract terms flow cleanly into billing and revenue systems (CPQ → billing → GL) Drive AR aging improvements, manage dunning and collections escalation, and own DSO as a core KPI Oversee customer credit reviews, bad-debt reserve methodology, and write-off governance Administer customer master data, banking/remittance information, and customer-specific compliance requirements (e.g., vendor onboarding packets, W-9s, HIPAA/BAA attestations) Procure-to-Pay & Accounts Payable Own vendor onboarding, W-9/W-8 collection, sanctions screening, and vendor master data governance Manage AP processing, three-way match where applicable, approval workflows, and timely vendor payments via ACH, wire, check, and virtual card Administer corporate card and T&E programs (e.g., Ramp, Navan, Rippling) and enforce travel & expense policy Oversee 1099-NEC / 1099-MISC reporting and international contractor withholding/compliance Partner with Procurement and Legal on vendor contract review, SaaS spend rationalization, and PO governance Payroll, Equity & Compensation Accounting Partner with People Operations to own payroll accuracy, funding, and reconciliation across US (multi-state) and international entities and EORs Run the monthly payroll accounting close, including accruals for bonus, commissions, PTO, severance, and benefits Maintain equity compensation accounting (ASC 718), stock administration reconciliation (options, RSUs, ESPP), and cap table-to-ledger tie-outs Ensure accurate and timely accounting and remittance for 401(k), HSA/FSA, benefits, and garnishments Partner with Sales Finance on commission plan accounting (ASC 340-40) and clawback mechanics Internal Controls & Audit Design, implement, and maintain a robust internal control framework with an eye toward SOX readiness Serve as the primary liaison with external auditors, managing the annual audit and any interim reviews Develop and maintain accounting policies and procedures documentation Ensure compliance with federal, state, and international tax filing requirements in coordination with external tax advisors Team & Systems Build, mentor, and lead the accounting team as the company scales headcount and complexity Evaluate, select, and implement accounting systems and tools (ERP, AP automation, expense management) to support scale Partner with FP&A, Legal, People Operations, and Revenue Operations to ensure seamless financial data flow and cross-functional alignment Support M&A due diligence and post-acquisition integration from an accounting perspective Strategic Finance Partnership Partner with the CFO on board reporting, investor materials, and fundraising support Provide financial insights and variance analysis to inform business decisions Support IPO readiness workstreams including S-1 preparation, SEC reporting, and public company accounting infrastructure What You Bring Must Have: CPA required; active license strongly preferred 15+ years of progressive accounting experience, including Big 4 public accounting and in-house corporate accounting roles 5+ years of experience as a Controller or Assistant Controller at a high-growth technology company Deep expertise in US GAAP, particularly ASC 606, ASC 718, and ASC 842 Experience managing the full audit cycle with Big 4 or national firms Demonstrated ability to build internal controls and accounting processes from the ground up in a scaling environment Experience with multi-entity and multi-currency accounting Strong ERP experience Excellent communication skills with the ability to translate complex accounting matters for non-financial stakeholders Nice to Have: Experience at a venture-backed company that has been through or is preparing for an IPO SaaS industry experience Experience with usage-based or consumption-based revenue models Familiarity with international expansion accounting (transfer pricing, entity setup, statutory reporting) Experience supporting M&A transactions from accounting due diligence through integration Comfort operating in a fast-paced, ambiguous environment where you build the playbook as you go Please be aware of recruitment scams impersonating Hippocratic AI. All recruiting communication will come from @ hippocraticai.com email addresses. We will never request payment or sensitive personal information during the hiring process.