Controller

Full-time Controller 

Are you passionate about making a meaningful impact in women’s mental health care? Here's your chance to be a vital part of FamilyWell's mission to enhance access to high-quality, equitable, and affordable mental health services for women across the U.S.

Background: 

FamilyWell Health is an AI-enabled mental health start-up dedicated to solving the women’s mental health crisis by seamlessly embedding high quality, equitable, & affordable mental health care into OB/Gyn practices. FamilyWell provides comprehensive virtual mental health services designed specifically for integration into women’s health practices and health systems. FamilyWell’s virtual care team model delivers evidence-based mental health support throughout the full reproductive lifecycle—from fertility through menopause—using the proven Collaborative Care Model (CoCM).

Our tech-enabled platform seamlessly embeds coaching, therapy, and psychiatric services directly into clinical workflows, making high-quality mental health care accessible, affordable, and insurance-covered. With 95% of patients experiencing clinical improvement within four months, we're addressing one of healthcare's most underserved areas while creating a financially sustainable model for our provider partners.

Following our recent $8M Series A funding, we're expanding nationwide and seeking exceptional talent to join our mission-driven team.

Location: Hybrid, preference for greater Boston area

Department: Finance

Reports to: VP of Finance

Job Type: Full-Time

Salary Range: $110,000-$140,000 plus equity

Job Summary:

We are seeking a strategic, operationally excellent Controller to build and lead our Accounting function at FamilyWell. This role is critical to the company’s next phase of growth. As we scale our AI-enabled mental health platform nationwide, you will oversee all core accounting operations—from month-end close through audit readiness—and partner closely with our Revenue Cycle team to ensure accurate, compliant revenue recognition.

This role goes far beyond maintaining the books. As Controller, you will serve as the architect of our financial foundation, pairing accounting rigor with strategic insight to help manage burn, optimize spend, and extend runway. The ideal candidate thrives at the intersection of high-level financial strategy and hands-on operational execution, bringing both precision and perspective to a fast-growing healthcare organization.

Accounting & Financial Control (The "Past & Present")

• Month-End Close: Lead the full close process to produce timely, GAAP-compliant financial statements (P&L, Balance Sheet, Cash Flow).
• Revenue Recognition: Partner with the Revenue Ops lead to ensure complex healthcare billing is correctly recorded under ASC 606 standards.
• Accounts Payable & Accounts Receivable: Oversee all vendor payments, manage corporate credit card activity, and ensure timely collection of monthly invoices from clinics.
• Tax & Compliance: Oversee state and federal filings, manage sales tax/nexus in new expansion states, and lead the relationship with external tax/audit firms.
• Internal Controls: Design and implement financial policies (e.g., procurement limits, expense approvals) to safeguard startup capital.
• Treasury: Monitor bank balances and manage cash flows to optimize interest and liquidity.

FP&A & Strategic Analysis (The "Future")

• Budgeting & Forecasting: Own the annual operating budget and update the rolling 12-month forecast based on actual performance.
• Variance Analysis: Lead monthly "Actuals vs. Budget" reviews with department heads to identify and correct spend overages.
• Burn & Runway Modeling: Maintain a real-time model of cash burn and runway, providing the CEO with "what-if" scenarios for future fundraising.
• Headcount Planning: Build the financial models for clinical scaling, factoring in recruitment costs, benefits, and ramp-up time for new providers.
• Board Reporting: Translate complex financial data into clear, high-level slides and narratives for Board of Directors meetings and investor updates.
• Unit Economics: Analyze the "bottom line" efficiency of the business and gross margins.

Qualifications

Required:

• Experience: 5–8 years of progressive accounting and finance experience in a healthcare environment, with at least 2 years in a high-growth startup.
• Education: Bachelor’s degree in Accounting or Finance.
• Technical Mastery: Expert-level Excel/Google Sheets skills (including three‑statement modeling), proficiency with QuickBooks Online and the ability to lead a future transition to a more advanced ERP system such as NetSuite or Sage Intacct. Familiarity with EHR systems, billing platforms, and BI tools.
• Strategic Mindset: Proven ability to move beyond transactional accounting into "financial storytelling"—explaining the why behind the numbers.
• Startup Grit: Comfortable in a "scrappy" environment where you must build the systems you use.
• Experience with healthcare revenue cycle management
• (Strongly preferred) Background in women's health, maternal health, or behavioral health services

What We Offer

• Mission-Driven Work: Join a team transforming women's mental health care and improving lives every day
• Growth Opportunity: Help build and scale financial operations at a Series A company with significant expansion ahead
• Exceptional Team: Work alongside passionate, mission-aligned colleagues including clinical leaders from Harvard, Johns Hopkins, and top health systems
• Competitive Compensation: Base salary commensurate with experience plus equity, comprehensive benefits, and 401(k)
• Flexibility: Hybrid work environment with our Boston office; remote candidates considered for exceptional fit
• Impact: Your work directly enables thousands of women to access life-changing mental health care

Our Values

• Empathy First: We lead with compassion for the women and families we serve
• Evidence-Based: We're committed to proven clinical models and data-driven decision making
• Equity & Access: We believe all women deserve high-quality, affordable mental health care
• Collaboration: We work as one team across clinical, operational, and business functions
• Continuous Learning: We embrace feedback, iterate quickly, and constantly improve

To Apply

FamilyWell Health is an equal opportunity employer committed to building a diverse and inclusive workplace. We encourage applications from candidates of all backgrounds and experiences.

Please submit your resume and a brief cover letter explaining your interest in this role and what you would bring to FamilyWell's mission.

Please be aware of recruitment scams. FamilyWell will never ask candidates to pay money, request sensitive personal information early in the process, or conduct interviews over unsecured platforms. All official communication will come from an @familywellhealth.com email address.