Controller and Director of Finance - Tele Health

Controller & Director of Finance Location: Remote/Hybrid – New York, NY or West Palm Beach, FL (with flexibility) Reports to: Chief Financial Officer & SVP of Strategy About Sevaro Sevaro is a rapidly scaling, Series B tele-neurology and AI-powered stroke care company. Our mission is to transform access to high-quality neurology services through cutting-edge technology, seamless workflows, and a provider-first culture. With SynapseAI, our proprietary care platform, Sevaro partners with hospitals and health systems nationwide to deliver immediate, expert neurological care when patients need it most. As we continue our rapid growth, we are seeking a highly skilled and hands-on Controller & Director of Finance to build and lead the accounting and finance infrastructure that will enable scale, support investor expectations, and position Sevaro for IPO readiness. Role Overview The Controller & Director of Finance will own all aspects of accounting, controllership, cash/treasury management, and financial operations. This leader will ensure accurate financial reporting, implement scalable systems, and provide strategic insights to support Sevaro’s growth trajectory. The role requires someone who is both detail-oriented in daily execution and strategic enough to help guide Sevaro through the journey to IPO readiness. Key Responsibilities Accounting & Controllership • Lead all accounting operations, including general ledger, revenue recognition, AP/AR, payroll, and consolidations. • Ensure compliance with US GAAP, regulatory requirements, and audit standards. • Oversee monthly, quarterly, and year-end close processes with accuracy and timeliness. • Develop and maintain robust internal controls, policies, and procedures. • Manage annual audits, tax filings, and SEC readiness initiatives. Cash, Treasury & Capital Markets • Oversee corporate cash management, banking relationships, and liquidity planning. • Manage daily cash positioning, forecasting, and working capital optimization. • Implement best practices for treasury operations, including electronic payments, cash pooling, and short-term investments. • Monitor debt facilities, credit arrangements, and covenant compliance. • Partner with CFO on capital markets activities including equity fundraising, debt financing, and investor relations. • Support board and investor reporting related to capital structure, cash runway, and funding strategy. IPO & Public Company Preparedness • Partner with CFO to prepare Sevaro for IPO readiness, including systems, reporting, and compliance upgrades. • Build SEC-compliant reporting processes and internal controls (SOX readiness). • Lead technical accounting efforts for complex transactions, equity, and revenue recognition. • Drive audit committee and board reporting frameworks. Financial Planning & Analysis • Support budgeting, forecasting, and long-range planning alongside CFO. • Provide variance analysis and actionable insights to senior leadership. • Translate financial results into clear reporting for executives, board, and investors. Systems & Process Leadership • Implement and optimize enterprise-grade ERP and financial systems. • Drive automation and scalability in financial workflows. • Build dashboards and reporting tools for KPIs, revenue growth, and margin management. Team & Cross-Functional Leadership • Build and mentor a high-performing accounting and finance team. • Partner cross-functionally with operations, sales, and HR to align finance with business growth. • Support M&A integration and new market/service line expansions. Qualifications • Active CPA license (mandatory). • 10+ years of progressive finance/accounting experience, with at least 3 years in a Controller or senior finance leadership role. • Demonstrated experience preparing a company for IPO readiness; public company experience strongly preferred. • Deep knowledge of US GAAP, SEC reporting requirements, internal controls (SOX), and treasury best practices. • Proven success managing cash forecasting, liquidity, banking relationships, and capital markets transactions (equity & debt raises). • Strong track record implementing ERP/financial systems and scaling finance operations. • Experience with multi-entity consolidations, equity accounting, and healthcare/telehealth revenue recognition preferred. • Ability to balance hands-on execution with executive-level leadership. • Exceptional communication skills with executives, investors, auditors, and regulators. • Thrives in a fast-paced, mission-driven growth environment. Why Join Sevaro? • Shape the financial foundation of a healthcare technology company • Direct exposure to executive leadership, the board, and top-tier investors. • Hybrid flexibility, competitive compensation, and meaningful equity participation. • A culture that values innovation, collaboration, and impact for patients and providers. Job Type: Full-time Pay: $175,000.00 - $200,000.00 per year Experience: • Accounting: 10 years (Required) • Controller: 3 years (Preferred) • Senior leadership: 3 years (Preferred) License/Certification: • CPA (Required) Work Location: Remote Apply tot his job