Controller

About the role

XRHealth is a Boston-based digital health company pioneering extended reality (XR) therapeutics. Our clinically validated platform delivers physical therapy, pain management, and behavioral health treatment directly to patients at home, on a device prescribed as durable medical equipment and reimbursed by Medicare. We have treated more than 50,000 patients, delivered over one million therapy sessions, and hold partnerships across Medicare, the VA, commercial payers, employers, and health systems. Our Products business is growing quickly, and this role sits at the center of that growth.

This role owns the monthly close for XRHealth and its multiple entity structure. You will manage 3 staff accountants, each responsible for their respective entities, and you will be the point of contact for our outsourced accounting firm, which consolidates the entities and files our corporate returns.

Responsibilities

• Run one close calendar.
• Review and approve every reconciliation, accrual, and journal entry prepared by the accountants before the books are considered final.
• Deliver clean, complete, and consistent entity books each month with supporting schedules and intercompany activity.
• Answer review questions and resolve adjustments so consolidation is efficient.
• Act as second reviewer on outgoing payments, Ramp bill runs, and bank transfers, with the VP, Finance as final approver.
• Report a weekly cash position and rolling 13‑week forecast.
• Own Carta for stock compensation: keep the cap table reconciled to the books, record option grants, exercises, and cancellations, and prepare stock compensation expense and the supporting schedules.
• Own the chart of accounts, revenue and expense recognition policies, close checklists, and accounting memos.
• Set approval thresholds, keep duties segregated between preparer and approver, and manage user access for banks, Ramp, and the general ledger.
• Maintain the state registration and filing calendars.
• Review the tax packages sent to the outside firm.
• Deliver monthly financials with variance commentary, plus payroll cost and headcount reporting reviewed for accuracy.
• Hire, train, and develop accountants. Set expectations, review their work, and cover their respective duties during absences or gaps.
• Provide ad hoc support for audit, insurance renewal, lender, and investor requests, and finance input on new systems and vendors.

Qualifications

• Bachelor's degree in accounting or finance.
• CPA strongly preferred.
• Seven or more years of accounting experience, including at least two years reviewing or supervising the work of others.
• Hands‑on multi‑entity month‑end close and consolidation support experience under US GAAP.
• Working knowledge of Ramp, Rippling, and a mid‑market general ledger, with the confidence to own system configuration.
• Multi‑state compliance exposure, including registrations, annual reports, and state payroll accounts.
• Healthcare, medical device, or clinical services experience is a plus, as is working alongside an outsourced accounting firm.