Controller - Bicycle Health

Of the 10 million Americans struggling with opioid misuse, only 1 in 10 receive treatment. Bicycle Health is on a mission to solve this accessibility crisis by combining Medication for Opioid Use Disorder (MOUD) with behavioral healthcare, drug screening, therapy, and peer support through a single app.

As our Controller, you will take full ownership of our day-to-day accounting operations, financial close, and compliance framework. Reporting directly to the CFO, you will manage our internal accounting team, direct external audit and tax partners, and build scalable financial systems to support our rapid multi-state expansion and payor relationships.

What Makes This Role Unique

• Mission-Driven Scale: Your work directly supports an organization delivering life-saving clinical care to tens of thousands of individuals across the country.
• Complex Multi-Entity Architecture: Navigate sophisticated healthcare accounting, including Management Services Agreements (MSAs), intercompany fund flows, and ASC 606 revenue recognition across both commercial payors and self-pay populations.
• Direct Line of Sight to the CFO: Partner closely with executive leadership to establish financial governance, prepare for institutional growth rounds/public readiness, and shape the company’s operating discipline.
• A True Builder’s Mandate: Work with a modern, fully virtual financial stack (NetSuite, Tropic, Bill.com, Expensify, Carta) with full runway to automate workflows, eliminate manual friction, and compress the close cycle.

Key Responsibilities

• Accounting Operations & Close: Own monthly, quarterly, and year-end close processes; deliver GAAP-compliant consolidated financials efficiently.
• Multi-Entity & MSA Governance: Oversee intercompany accounting, allocations, and cash transfers across clinical and management entities in strict accordance with MSAs.
• Revenue Recognition: Refine and maintain robust ASC 606 revenue policies for commercial health plan contracts and cash-pay patients.
• Controls, Audit & Tax: Drive the annual external audit, coordinate multi-state tax compliance (income, sales, franchise, excise), and design scalable internal controls.
• Risk & Corporate Governance: Manage annual corporate insurance programs (general liability, medical malpractice, cyber, D&O) and oversee equity/stock administration via Carta.
• Team Leadership: Mentor, manage, and scale the internal accounting and accounts payable team while directing specialized third-party consultants.

What We Are Looking For

• Credentials & Experience: Active CPA required; Bachelor’s or Master’s in Accounting or Finance with 7+ years of progressive experience, ideally combining early public accounting training with high-growth operating experience.
• Leadership Track Record: 5+ years of direct experience building, mentoring, and holding accounting teams accountable to tight close SLAs.
• Technical Depth: Mastery of US GAAP, multi-entity consolidations, intercompany accounting, and ASC 606 revenue recognition. Prior exposure to healthcare, MSOs, or complex clinical payor models is strongly preferred.
• Modern Systems Fluency: Hands-on experience operating within NetSuite, Bill.com, Tropic, Expensify, Carta, and Google Workspace.
• Remote Operating Agility: Highly organized, self-directed builder comfortable designing processes from scratch and managing competing priorities in a fast-paced virtual environment.
• Work Authorization: Must be authorized to work in the US on a full-time basis and physically reside within the United States.

Benefits & Compensation

• Target Base Pay: $160,000 - $205,000 + Bonus & Equity
• Location: 100% Remote (US-based)
• Health Coverage: 100% Employer-paid Medical, Dental, and Vision insurance
• Paid Time Off: Discretionary PTO, 8.5 sick days, 10 paid holidays, and paid parental leave
• Financial Support: 401(k), Employer-paid Short-Term & Long-Term Disability
• Perks: $50 monthly remote work stipend, LinkedIn Learning access, and all equipment provided