Controller at Ilant Health

The Company:

Ilant Health is a value-based healthcare provider focused on cardiometabolic obesity, a group of interconnected conditions that drive over $700 billion in annual U.S. healthcare expenses. We are dedicated to increasing access to treatment while reducing the total cost of care for employers and payers. We are not just a provider, we are a technology-enabled practice driven by analytics. Our mission is to "de-average" care, using proprietary algorithms to match Members with the right interventions at the right time, while establishing habits that support treatment success and sustained outcomes. By combining clinical rigor with a consumer-grade digital experience, we drive life-changing outcomes and measurable ROI.

We serve as the single, integrated front door for comprehensive care, delivering a full continuum of evidence-based solutions, spanning bariatric surgery, pharmacotherapy, and intensive behavioral therapy. Crucially, we personalize care for every Member through a dedicated multidisciplinary care team, empowered by our advanced digital platform. This ecosystem includes specialized tools for our providers and a fully accessible Member Portal (web and mobile) for our Members.

The Role:

We are hiring our first senior finance leader — a Controller who is equally comfortable rolling up their sleeves and building the foundation of our finance function. This role is the foundation of Ilant’s financial and operational infrastructure, and will report to the COO.

You will:

Ensure the business runs on accurate financial data

Create discipline in how money moves through the company

Build systems that scale with rapid growth

You will be joining a mission-oriented team at Series A startup delivering AI-enabled, high-quality clinical cardiometabolic care. You’ll be highly impactful with visibility across the company in an evolving but demanding role that will enable you to operate with extreme ownership!

Key Responsibilities:

Revenue, Billing & Collections

Own all invoicing across employer and health plan contracts

Manage complex billing structures (PPPM, Admin Fees, Passthrough Expenses, etc.)

Drive AR collections and reduce DSO

Accounts Payable & Member Payments

Oversee vendor payments and expense management, including bonus & commission payments

Directly manage HRA reimbursements to members

Accounting & Audit

Own monthly close process end-to-end in Quickbooks

Ensure GAAP-compliant financials

Lead initial and following annual audits

Financial Systems & Process Design

Build scalable workflows across billing, AP, and reimbursements

Evaluate, implement and own tools (QuickBooks, Ramp, Bill.com, Carta, etc.)

Financial Planning & Treasury

Support budgeting and forecasting

Optimize credit card usage and manage cash movement

Corporate & Administrative Operations

Own corporate compliance calendar (franchise taxes, annual filings, foreign entity registrations)

Partner with legal counsel on entity management and regulatory requirements

Coordinate with PEO on payroll accuracy, benefits, and compliance

Qualifications:

CPA required

6–10 years of experience in accounting + finance operations

Experience at a “Big Four” accounting firm

Deep ownership of monthly close

Experience with complex billing / revenue flows

Willingness to personally execute transactional work

Experience managing external accountants or firms

Strong systems and process orientation

Bonus Points for:

Startup experience

Experience preparing for or leading an audit

Exposure to FP&A or cash forecasting

Experience with entity management or corporate compliance processes

Benefits and Perks:

We believe great work happens when people are supported, trusted, and given the flexibility to thrive. Here’s what you can expect when you join our team:

Fully remote environment – work from anywhere while maintaining meaningful collaboration with a distributed team

Comprehensive health benefits – medical, dental, and vision coverage to support you and your family

Paid time off – 2 weeks of PTO to rest, recharge, and take the time you need

Flexible floating holiday – one additional day each year to celebrate what matters most to you

Paid sick leave – 5 sick days so you can prioritize your health when needed

11 paid company holidays throughout the year

401(k) retirement plan to help you invest in your future

Healthcare and Dependent Care FSA options for additional tax-advantaged savings