Controller

Akido builds AI-powered doctors . Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care. Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York. Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. Read more about Akido’s $60M Series B . More info at Akidolabs.com . The Opportunity We are building an AI-native, national healthcare network. As we scale through acquisitions, partnerships, and launch new markets, the complexity of our financial operations is increasing rapidly. This role sits at the center of that complexity: building the accounting infrastructure and systems that allow the business to scale with confidence. This is not a traditional Controller role. This role reports to the CFO and is the senior most accounting position in the company. You will be responsible for stitching together a fragmented set of entities, revenue models, and workflows into a unified, high-quality financial system. You will partner deeply with operational and finance leaders across the organization to ensure our books reflect how the business actually runs—and enable faster, better decision-making. What you’ll do Lead the integration of newly acquired healthcare service businesses, ranging in size from $1M–$100M revenue, into a unified accounting and reporting structure Lead the company through its first financial audit in 2026, including readiness, controls, and external auditor management Design and implement a unified multi‑entity consolidation and reporting model that can scale from today’s footprint to 2–3x the current number of entities and states, inclusive of inter-company transactions. Transition the organization from cash to accrual accounting where appropriate across entities and revenue streams (FFS, capitation, PMPM, grants, etc.) Standardize the chart of accounts, entity structure, and dimensionality (e.g., service line, market, payer, provider) to enable clear visibility into unit economics and contribution margins. Own the accounting systems architecture across the group (ERP, subledgers, payroll, T&E, banking, and billing/RCM), ensuring clean data flow and a single source of truth for financial reporting. Own and reduce the monthly close timeline (currently ~20 days) through process, systems, and team improvements Drive the transition to a modern ERP system (e.g., Rillet), including implementation, migration, and integration with billing, capitation, and operational systems Build and manage core accounting functions, including AP, payroll, treasury, expense management, and tax, overseeing and developing a team of ~10 while remaining hands-on Partner closely with revenue cycle management (RCM) and billing teams to ensure accurate revenue recognition, cash reconciliation, and alignment between operational and financial reporting Partner with FP&A, operations, and market leaders to ensure financial reporting reflects business reality across entities and geographies Ensure compliance with healthcare‑specific regulatory and reporting requirements (e.g., state health departments, payor contracts, risk‑bearing entity reporting) in partnership with Legal and Compliance. Oversee tax and regulatory filings at the entity level (in coordination with external advisors), including multi‑state considerations and any risk‑bearing or provider‑group requirements. Lead and mentor a geographically dispersed accounting team through a period of significant change, raising the bar on technical skills, ownership, and process discipline. Build a culture of documentation and continuous improvem