Controller, Finance & Banking, Financial Reporting

Controller, Stealth-Mode Startup (Hybrid - Boston, MA)

TAPPS is conducting a search on behalf of a stealth-mode startup that is building the future of cancer survivorship.

Our client is a venture-backed, stealth-mode oncology platform developing next-generation survivorship infrastructure that modernizes and scales long-term cancer follow-up care. We integrate evidence-based clinical frameworks, technology-enabled workflows, and diagnostics into accessible, high-quality survivorship models.

As the first dedicated finance resource, you will play a central role in building the company's financial infrastructure from the ground up. You will own dedicated work streams around finance systems, controlling, and business planning — working closely with the leadership team. This is a unique opportunity to shape core financial processes at an early stage and grow with the company.

The Controller will work cross-functionally across the organization and with external partners to deliver timely reporting, sound financial guidance, and operational discipline. The ideal candidate combines strong technical accounting depth with practical judgment, high integrity, and the ability to operate effectively in a fast-moving startup setting. The Controller will own the company’s accounting operations, financial reporting, close process, controls environment, and key external finance relationships.

This role is designed for a director-level finance leader who can both execute in a lean environment and build the processes, policies, and team needed to scale. This is an opportunity for a finance professional who is energized by creating structure, driving continuous improvement, and serving as a visible business partner to the C‑suite, Board, and functional leaders. Candidates located within 60 minutes of Boston will be prioritized.

• Own the monthly, quarterly, and annual close processes, ensuring accurate, timely, and GAAP-compliant financial reporting.
• Prepare management reporting packages, operating metrics, and financial analyses for executive leadership and other key stakeholders.
• Analyze actual results against plan, identify key drivers of variance, and clearly communicate business performance.
• Serve as the single point of accountability for the completeness and accuracy of the company’s financial statements.
• Oversee the development, documentation, and review of accounting policies, technical accounting memos, and reporting practices.

• Lead reporting and analysis related to the company’s profit and loss statement, including spend trends, departmental performance, and operating metrics.
• Partner with leadership to improve financial visibility, support decision-making, and enhance forecasting inputs.
• Ensure reporting outputs are decision-useful, well controlled, and aligned with the needs of a growing life sciences organization.

• Own balance sheet integrity, including reconciliations, account reviews, and controls over significant estimates and judgments.
• Oversee treasury operations and cash management activities, including liquidity tracking and cash forecasting support.
• Manage the company’s cap table and support employee equity-related processes in partnership with legal, HR, and external advisors.
• Partner with the business to support capital expenditure planning, tracking, and governance.

• Coordinate all external audit, tax, and financial reporting activities.
• Manage relationships with external accounting firms, auditors, tax advisors, and other finance-related service providers.
• Ensure compliance with GAAP and readiness for the expectations of a future public-company environment, including strong documentation and disciplined reporting practices.
• Support the development of a control environment that can scale with the organization and stand up to increased investor, Board, and audit scrutiny.

• Plan, direct, and coordinate operational accounting activities, including procure-to-pay, payroll, and related finance workflows.
• Develop,…