Controller/Director of Accounting

Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017 by CEO Stephanie Strong, our mission is to improve the lives of people with substance use disorders through compassionate, evidence-based care.

We provide Boulder patients with a fully virtual, multidisciplinary care team—including medical providers and peer recovery specialists—who deliver personalized treatment, including medication-assisted treatment (MAT) and ongoing support. Our approach is grounded in clinical excellence, patient-centered care, and a commitment to reducing barriers to recovery. Boulder partners with leading health plans, employers, and community organizations to ensure that our services are accessible and covered for the people who need them most.

Named by Fortune as one of the Best Workplaces in Healthcare, Boulder fosters a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward.

About this role

We are seeking a Controller to serve as the Head of Accounting and a key financial leader within Boulder Care. This role will own the integrity of our financial operations, ensuring accurate reporting, strong internal controls, and full compliance with audit and tax requirements.

The Controller will also play a critical role in preparing the company for scale, including supporting debt and equity financing activities, and building the accounting infrastructure needed for a high-growth healthcare organization.

Success in this role

Accounting & Financial Reporting

• Own the monthly, quarterly, and annual close processes, ensuring timely and accurate financial statements in accordance with GAAP
• Maintain the integrity of the general ledger and all supporting systems
• Develop and enforce accounting policies, procedures, and documentation
• Partner with FP&A to support budgeting, forecasting, and variance analysis

• Design, implement, and continuously improve internal controls across all financial processes
• Ensure compliance with healthcare regulatory requirements, GAAP, and applicable state/federal laws
• Lead audit readiness efforts and serve as the primary liaison with external auditors
• Oversee tax compliance, filings, and coordination with external tax advisors

• Oversee revenue recognition processes, ensure accurate accounting for complex healthcare billing and telemedicine revenue streams
• Partner with operations and revenue cycle teams to improve financial visibility and controls

• Support debt and equity financing activities
• Ensure financial statements and processes meet institutional investor and lender expectations
• Build scalable financial systems and processes to support rapid growth

• Evaluate and implement accounting systems and tools to improve efficiency and scalability
• Drive automation and process improvements across accounting workflows

• Build, manage, and mentor the accounting team as the company grows
• Foster a culture of accountability, accuracy, and continuous improvement

• Bachelor’s degree in Accounting, Finance, or related field (CPA strongly preferred)
• 8+ years of progressive accounting experience, including leadership roles
• Experience in healthcare, telehealth, or a regulated industry strongly preferred
• Strong knowledge of GAAP, internal controls, and audit processes
• Experience supporting audits and managing external auditor relationships
• Exposure to venture-backed startups and/or high-growth environments
• Experience supporting fundraising (debt and/or equity) is highly preferred
• Familiarity with healthcare revenue cycle and reimbursement models is a plus

• This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, CA, CO, FL, GA, ID, IL, KY, MA, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, WA, and WV.
• Changes to working location require pre-approval from People Operations and are not guaranteed.
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
• Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards
• Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like
  

This is a full-time remote position expected to work 40 hours between Monday-Friday during standard business hours.

Hiring process:

• Hiring Manger Interview - 45 min video
• Technical Interview - 45 min video
• Panel Interview - 45 min video
• Hiring Manager Final Interview - 45 min video
• Exec Final Interview - 60 min video
• Anticipated Start Date: June/July 2026

The starting pay range for this position is $160,000 - $180,000 per annum; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including equity grants in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave).

Some of Boulder’s amazing benefits for regular, full-time employees

• Contribution to meaningful, life-saving work!
• Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
• Mental Health Services via Cigna, Doctors on Demand, and EAP for continuous care
• Supplemental mental health services through Talkspace for care needed following tough patient visits
• 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
• Sick leave accrued at 1 hr for every 30 hrs paid
• 9 Paid Holidays per year
• 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
• 401(k) retirement savings
• Remote friendly with hardware provided to complete your work duties
  

• Patients always come first
• Our opportunity is also our duty
• Move the industry forward, follow the data
• Facts to change minds, empathy to change hearts
• Turn bold ideas into even bolder action
• Strong individuals, stronger together
• Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply.