Controller

About This Role

Tile Health is growing rapidly, and the Controller will serve as the operational backbone of the finance organization. This role owns the monthly close, financial statement preparation, audit management, and internal control framework. The Controller will build and lead the accounting team while partnering with FP&A and the CFO to provide the financial foundation that supports strategic decision-making. Experience navigating the nuances of SaaS revenue recognition in healthcare is highly valued.

What You'll Do

• Manage the monthly, quarterly, and annual financial close process, ensuring timely and accurate reporting under US GAAP
• Oversee accounts payable, accounts receivable, payroll, and general ledger operations
• Design and enforce internal controls over financial reporting in alignment with SOX-readiness standards
• Lead the annual external audit process and manage relationships with audit firms and tax advisors
• Implement and optimize financial systems (ERP, billing, expense management) to support operational scaling
• Supervise and develop a team of accounting professionals, setting performance goals and providing mentorship

What We're Looking For

• CPA with 8+ years of progressive accounting experience, including 3+ years in a controller or senior accounting leadership role
• Strong technical accounting knowledge with expertise in ASC 606 revenue recognition for SaaS contracts
• Experience managing financial operations at a growth-stage technology company ($20M-$200M revenue)
• Proficiency with ERP systems (NetSuite, Sage Intacct, or similar) and advanced Excel
• Proven ability to build and lead high-performing accounting teams

Nice to Have

• Experience in healthcare technology or digital health revenue models
• Big Four public accounting experience
• Familiarity with equity compensation accounting and cap table management
• Experience preparing for or completing SOC 2 or SOX compliance audits