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Sesame is a radically normal solution to the American healthcare system -- a nationwide marketplace that connects patients and doctors directly. By disintermediating insurers, Sesame enables patients to shop for convenient, high-quality care at the most affordable prices imaginable. We’ve already driven down the cost of health care by nearly 70% while putting doctors back in control of their own services and enabling true innovation in care delivery. We are backed by leading investors including Google Ventures (GV), General Catalyst & Giant Ventures -- and we’re scaling fast.
The Role
We are seeking an accomplished and strategic Corporate Controller to lead our accounting function. Reporting directly to the Co-Founders, this role will oversee all core accounting operations while shaping the financial infrastructure needed to support our continued growth and path to completely upend healthcare. You will be responsible for compliance, financial reporting, internal controls, tax, treasury, and the design of scalable systems and processes. You will also be a key partner to senior leadership on financial strategy, risk, and operational excellence.
The Day-to-Day
- Lead all accounting functions including General Ledger, A/R, A/P, Revenue Recognition and Friendly PC Accounting
- Oversee the full monthly close and reporting process, delivering accurate and timely financial statements for internal and external stakeholders
- Establish and maintain a strong internal control environment aligned with US GAAP and public company standards
- Drive financial systems strategy, including oversight of the ERP (Quickbooks) and revenue recognition systems, with a focus on automation and scale
- Manage tax, compliance, audits, and statutory reporting across multiple jurisdictions
- Own relationships with external auditors and advisors; manage 409A valuations, annual audits, and tax planning
- Lead treasury strategy, including banking relationships and capital structure planning in partnership with the Co-Founders
- Collaborate closely with Data and Ops teams to ensure integrity of key SaaS financial metrics and business analysis
About You
- Bachelor’s or Master’s degree in Accounting, Finance, or a related field
- 10+ years of progressive accounting experience
- Proven leadership in a growth-stage Consumer or SaaS company
- Deep expertise in US GAAP and SaaS financial reporting metrics (ARR, NRR, CAC, etc.)
- Strategic systems thinker with experience owning enterprise finance platforms (e.g., Quickbooks, revenue automation tools)
- Strong presence and ability to collaborate cross-functionally and influence at the board and C-level
What We Offer
- Competitive total compensation package including equity in the business
- Generous, flexible vacation policy
- A fun and international work environment with teams across the US (New York, Boston, Miami) and Europe
- Comprehensive health care coverage options
Sesame is an equal opportunity employer and we value diversity at our company — we do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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