Director of Accounting

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Obesity impacts more than 40% of the US adult population, and although historically only about 1% of patients received medical treatment for their disease, the field of Obesity Medicine is entering a period of rapid growth. Form Health provides high-quality expert care and leverages technology to enhance the patient experience. All Form Health patients work closely with their care team, which includes board certified physicians, advanced practice professionals and Registered Dietitians. Through our proprietary mobile app patients engage in regular video visits, as well as text messaging, photo journaling, digital data transmission, and customized educational materials. We hold ourselves to the highest standards of clinical care, and to treating every individual with empathy and respect. 

Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team. Our mission is to empower patients and be leaders in Obesity Medicine driving impact at a national scale. We are deeply invested in our core value to put patients first, and also deeply committed to creating a culture where every employee is valued and we learn and improve together.

About the role:

We are seeking our first dedicated accounting hire at Form Health, responsible for establishing the accounting foundation, team, processes and systems that will support our next stage of growth. You’ll build the accounting function from the ground up, own the close and reporting processes, oversee internal and external audits, and help scale systems and controls. This is a hands-on leadership role requiring both technical accounting expertise and the ability to operate in a fast-moving, ambiguous environment. You will also help to build and manage the team as the company continues to scale. The preference is for this person to be located in the Boston, MA area and willing/able to work a hybrid scheduled in the office 2-3 days/week, but we are willing to consider strong remote candidates as well. 

What you will do:

Phase 1: build the foundation

• Build and lead the accounting function, including hiring and managing a team over time.
• Establish accounting policies, procedures, and controls to support scalability, compliance, and audit readiness. 
• Own Accounts Payable and Accounts Receivable and ensure timely vendor payment and receipt.
• Own and optimize the monthly, quarterly, and annual close process.
• Lead preparation of financial statements in accordance with US GAAP.
• Manage technical accounting topics (eg, revenue recognition, leases, stock-based compensation, inter-company transfers, and acquisition accounting).

Phase 2: execute and partner

• Lead systems implementation and optimization (e.g., ERP upgrades, automation tools).
• Ensure regulatory compliance in healthcare-related accounting and reporting.
• Partner with FP&A and leadership to deliver actionable insights from financial results.
• Oversee coordination with external accounting firms, auditors, and tax advisors.

Phase 3: scale and optimize

• Expand accounting team and capabilities (eg, treasury, tax, etc.) as Form Health grows
• Support Board and investor reporting, including audit committee materials.
• Support fundraising, M&A, and strategic initiatives with accounting insights and due diligence readiness.

About you:

• Bachelor’s degree in Accounting or Finance; CPA required
• 10+ years of progressive accounting experience, including:
  • At least 3 years in public accounting (Big 4 or national firm preferred)
  • Experience in a high-growth startup or private equity-backed environment
• Strong knowledge of US GAAP and technical accounting areas
• Proven track record building or scaling an accounting function
• Experience with healthcare services, multi-entity consolidation, and revenue cycle management is a strong plus
• Experience with accounting systems (e.g., NetSuite, QuickBooks, Sage Intacct) and ability to implement and optimize ERP tools
  • Prior experience leading a migration from Quickbooks to NetSuite is a strong plus 
• Excellent communication and leadership skills, with the ability to influence cross-functional partners
• Experience leading a first time audit is a strong plus
• Highly organized, detail-oriented, and capable of managing multiple priorities in a fast-paced environment
• Hands-on mindset — willing to roll up sleeves while also thinking strategically
• Preference for candidates located in the Boston, MA area

More about Form Health’s benefits:

• Competitive salary and equity in a high growth start-up
• Comprehensive health benefits (medical, dental, vision) 
• 401k program
• Flexible work schedules and paid time off
• Paid parental leave

Form Health’s commitment to building a diverse, equitable, and inclusive work environment:

Form Health is committed to creating a culture and environment that celebrates diversity and inclusion, while fostering safety and belonging. This extends from our remote patient care to our corporate offices and everywhere in between. We are looking for team members who want to help us further our Diversity, Equity, and Inclusion (DEI) efforts and who share our attitudes for creating an inclusive, safe, and positive work environment.