Director - Controller

Director, Controller
- US OR Green Card Only | Candidates in PST or MST preferred

We are seeking an experienced, hands‑on Director, Controller to lead accounting operations and ensure accurate, timely financial reporting for a growing medical device organization. Reporting to the Fractional CFO, this individual will oversee the day‑to‑day accounting function, including financial close processes, general ledger management, financial statements, accounts payable and receivable, cash management, and regulatory compliance.

The ideal candidate is a highly skilled accounting professional who thrives in a fast‑paced, entrepreneurial environment and can balance strategic financial oversight with hands‑on execution. This role is instrumental in maintaining financial accuracy, managing cash flow visibility, strengthening internal controls, and supporting fundraising activities, investor reporting, and financial due diligence.

• Lead monthly, quarterly, and annual financial close processes, including journal entries, reconciliations, accruals, general ledger maintenance, and financial statement preparation.
• Oversee day‑to‑day accounting operations, including accounts payable, accounts receivable, payroll, benefits accounting, and cash management.
• Ensure accurate, timely financial reporting in accordance with applicable accounting standards and regulatory requirements.
• Manage relationships with outsourced accounting and Business Process Outsourcing (BPO) providers, ensuring service quality, accountability, and appropriate financial controls.
• Oversee inventory accounting and cost accounting activities, as applicable.
• Monitor cash balances, spending trends, and upcoming financial obligations to maintain visibility into the organization's liquidity position.
• Support cash flow forecasting, budgeting, and financial planning activities.
• Analyze actual financial performance against budgets and forecasts, identifying variances and potential financial risks.
• Partner with finance leadership to support informed spending decisions and effective financial resource allocation.

• Prepare financial statements, supporting schedules, and documentation for fundraising initiatives, investor reporting, financial due diligence, and external audits.
• Coordinate with external auditors, accountants, and tax advisors to ensure timely filings and compliance with applicable accounting and tax requirements.
• Develop, implement, and maintain effective accounting policies, internal controls, and financial reporting procedures.
• Identify opportunities to strengthen accounting processes, improve reporting accuracy, and enhance operational efficiency.

• Lead the transition of accounting activities from a previously UK-based finance team, ensuring continuity of financial records, reporting, and deadlines.
• Evaluate existing accounting processes and implement improvements to increase efficiency, accuracy, and financial transparency.
• Collaborate closely with the Fractional CFO, VP of Finance, and other business leaders to resolve financial issues and support operational decision‑making.
• Serve as a key financial resource to internal stakeholders and external service providers.

• Strong technical accounting expertise, including general ledger management, financial statements, reconciliations, accruals, and month‑end close.
• Demonstrated experience managing accounting operations and maintaining accurate financial records.
• Experience overseeing outsourced accounting teams, third‑party providers, or BPO relationships.
• Strong knowledge of cash management, cash flow forecasting,…