Sword Health is transforming healthcare by shifting from a human‑first model to an AI‑first approach through its AI Care platform, delivering high-quality care anytime and anywhere while dramatically reducing costs for payers, self‑insured employers, national health systems, and other healthcare organizations. The company began by redesigning pain care with AI at the center and has since expanded into women’s health, movement health, and most recently mental health. Since 2020, over 700,000 members across three continents have completed 10 million AI sessions, helping more than 1,000 enterprise clients avoid over $1 billion in unnecessary healthcare spending. Supported by 42 clinical studies and more than 44 patents, Sword Health has raised over $500 million from top investors including Khosla Ventures, General Catalyst, Transformation Capital, and Founders Fund.

Role:
As Controller, you will build and oversee the global accounting foundation that supports Sword’s growth and prepares the company for public‑company standards. You will be responsible for accurate financial reporting, strong internal controls, and successful external audits. This highly visible position works closely with the Finance leader, Audit Committee, and senior leadership across the business. You will act as both strategist and builder, leading a junior but capable team, enhancing systems and processes, and helping shape a world‑class finance organization as Sword expands across the US and Europe. If you enjoy fast‑growth environments, simplifying complexity, and making a direct impact on the future of healthcare, this role offers the opportunity to influence Sword’s next phase.

Team:
Sword’s Finance Team plays a central role in maintaining the company’s financial strength as it delivers leading healthcare solutions. The team manages financial planning, analysis, reporting, accounting, revenue operations, and procurement. By optimizing resources, ensuring compliance, and driving efficient revenue operations, Finance provides strategic insights that guide decision‑making and support the company’s continued growth. The team works closely with all departments to enable innovation and help the organization reach its goals while upholding sound financial practices.

What you’ll do:
Global Accounting & Controls Leadership:
• Lead US GAAP‑compliant accounting, revenue recognition (ASC 606), and multi‑entity consolidation across the US and Europe.
• Oversee month‑end close, general ledger accuracy, intercompany transactions, and financial reporting.
• Maintain internal controls and policies necessary for future public‑company requirements; partner with InfoSec, IT, and Legal.
• Prepare for and lead external audits and manage auditor relationships.
• Ensure compliance with healthcare‑related financial regulations (including SOC2 and HIPAA‑related processes).
• Prepare global financial statements and management reports, collaborating with FP&A to produce insights.
• Present updates on reporting and internal controls to the Audit Committee.
• Support technical accounting research and new standard implementation.

Revenue & Cost Governance:
• Monitor performance and margins across various revenue streams and commercial models.
• Work with Commercial and Revenue Operations to strengthen data quality across CRM, billing, and contract systems, ensuring the accuracy of the utilization‑based revenue model.

Tax Compliance:
• Oversee US and international tax compliance (VAT, sales tax, income tax).
• Manage R&D tax credit documentation and processes.
• Improve tax data collection and filing through automation.

Process & System Scaling:
• Create and refine scalable workflows across AP, AR, payroll, and spend approvals.
• Implement and optimize financial systems such as ERP, spend management, and travel tools.
• Lead automation initiatives to reduce manual work and accelerate close timelines.

Team Leadership:
• Lead and develop an Accounting team spread across the US and Europe.
• Strengthen team capabilities, support junior talent, and hire as needed.

Strategic Transactions:
• Ensure accurate accounting for equity, debt financing, and fundraising events.
• Support corporate structuring and M&A integration, including financial and tax due diligence and purchase price accounting.

What you need:
• Bachelor’s degree in Accounting or Finance; CPA or equivalent strongly preferred.
• 10+ years of progressive accounting experience, including at least 3 years managing teams.
• Experience in a fast‑growing startup or scale‑up.
• Strong technical accounting skills (US GAAP, ASC 606, multi‑country consolidation).
• Proven success leading audits and implementing internal controls.
• Public accounting experience is a plus.
• Hands‑on experience across AP, AR, payroll, revenue operations, tax, and reporting, including complex intercompany structures.
• Experience working across multiple countries/entities (US and Europe preferred).
• Demonstrated ability to improve systems, processes, and close timelines.
• Ability to excel in a dynamic high‑growth environment.
• Experience with IPO or SOX readiness.

What we’d love to see:
• Experience with Netsuite, Zip/Ramp, and Navan.
• Background in integrating acquisitions or new legal entities.
• Familiarity with healthcare regulatory requirements.

What we offer:
• A dynamic, fast‑paced environment with room for creativity.
• A promising future within a high‑tech startup.
• Career growth opportunities and a competitive salary.
• The chance to work with a talented team and make real impact on an innovative solution shaping the future of healthcare.
• Flexible, remote‑friendly work with unlimited vacation.
• Access to our health and well‑being program, including digital therapist sessions.
• Remote or hybrid work options.
• Details on our tech stack available online.

US Benefits & Perks:
• Comprehensive health, dental, and vision insurance*
• Life and AD&D insurance*
• Financial advisory services*
• Supplemental insurance options (accident, hospital, critical illness)*
• Health Savings Account*
• Equity grants*
• Discretionary PTO*
• Parental leave*
• 401(k)
• Flexible hours
• Remote‑first environment
• Paid company holidays
• Free digital therapy for employees and their families
*Eligibility applies to full‑time employees working 25+ hours weekly.

Note: Applicants must have legal authorization to work in the US. Visa sponsorship is not available.

SWORD Health complies with federal and state civil rights laws and does not discriminate based on age, ancestry, color, citizenship, gender identity or expression, genetic information, marital status, medical condition, national origin, disability, pregnancy, race, religion, caste, sexual orientation, or veteran status.