Controller

Sana’s vision is to make healthcare easy.

All of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system. If you need something, you know where to go to get it with care that is a click (or as few clicks as possible!) away.

What’s beautiful about a vision oriented toward “easy” is how it imparts a singular feeling. We instinctively know as humans when something is easy versus hard, even if we can’t explain why. We fight as a company to make an easy pathway available to all our members at every stage of their healthcare journey. If you feel passionate about delivering better healthcare to small businesses through a seamless care experience and affordable benefits, join us!

We’re looking for a detail-oriented and strategic Controller to lead Sana’s accounting function and help scale our financial operations. As our Controller, you’ll build and optimize financial systems, ensure GAAP compliance, and implement best-in-class financial controls to support our continued growth. You’ll be a key player in refining our financial structure and partnering cross-functionally to drive operational excellence and strategic decision making.

We are a remote-first team and welcome applicants from all locations.

What you will do

• Own the integrity of all accounting functions, including general ledger, accounts payable, accounts receivable, payroll, and cash management.
• Manage a small but high-performing accounting team, including fostering continued career growth through regular coaching, consistent 1:1s, feedback sessions, problem-solving, and Q&A during normal business hours.
• Ensure timely and accurate month-end, quarter-end, and year-end closings, including maintaining all financial records in QuickBooks and overseeing monthly reconciliations and transaction categorizations.
• Effectively manage the accounting process under both cash and accrual accounting methods while ensuring compliance with GAAP standards.
• Prepare accurate and timely financial statements for management, the Board of Directors, and investors
• Own our accounts payable/receivable processes and generally ensure smooth day-to-day accounting operations.
• Lead process and system improvements to ensure accurate and timely financial reporting, both internal and external.
• Serve as the primary point of contact for external auditors, coordinating audit schedules, providing necessary documentation, and addressing audit queries to ensure timely and efficient completion of audits
• Oversee tax planning and compliance, working closely with our external tax advisors
• Develop and maintain financial accounting policies and robust internal controls, ensuring compliance with professional standards and regulatory requirements.
• Manage the implementation and maintenance of any ERP and accounting software.
• Collaborate with FP&A on budgeting, forecasting, and strategic financial planning.
• Develop, maintain, and communicate department/employee spending policies to align with company growth and financial health.
• Generally work cross-functionally with People, Legal, Product, Engineering, Operations, Care, and Revenue teams to optimize financial workflows.

About you:

• Bachelor's Degree in Accounting, Finance, or a related field; CPA required.
• 8+ years of accounting experience. Bonus points for both public accounting and private company experience with 4+ years of experience leading high-performing accounting teams (ideally as a Controller or Assistant Controller). Prior experience in InsureTech and/or digital health start-ups is also a plus.
• Self-described accounting nerd with a strong proficiency in Quickbooks and Excel. Ideally, you have a knowledge of a variety of accounting software tools and think critically about which tools are appropriate for us.
• Strong working knowledge of GAAP, financial reporting, and regulatory compliance
• Exceptional verbal and written communication skills—able to distill financial concepts into clear, actionable insights for non-finance stakeholders.
• Prior experience leading a financial audit or scaling a company’s financial infrastructure is a big advantage.
• You are mission-driven. You care about making our healthcare system work better for people and business owners
• You ask questions from a place of genuine curiosity and humility 
• You assume positive intent and meet your teammates with compassionate candor to solve problems together
• You remain flexible, resilient, and foster a culture of continuous learning even in the face of hardship. 
• You bring a bias for action paired with intelligent risk-taking 
• You follow through on your commitments and foster trust with your colleagues. 

About Sana

Sana is a modern health plan solution for small and medium businesses. We use a more efficient financing structure and integrated technology solutions to cut out wasteful spending and get members access to better quality care at lower cost. Founded in 2017, we are an experienced team of engineers, designers and health system operators. We have the financial backing of Silicon Valley venture firms and innovative reinsurance partners. If you are excited about building something new and being a part of fixing our broken healthcare system from the inside, please reach out!