Job Details

Job Title: Controller

Location: Stamford, CT / Remote / Hybrid
Reports To: CEO

Who We Are

Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care.

We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes.

At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles-where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners.

Who You Are

We are seeking an experienced and resourceful Practice Administrator with a strong background in healthcare operations and a passion for improving care delivery. You thrive in dynamic, fast-paced environments and are comfortable wearing multiple hats-from managing staff and workflows to coordinating technology platforms and vendor relationships. You bring a systems-oriented mindset to practice operations and are motivated by building efficient, patient-centered processes that support clinicians and improve outcomes.

You're equally comfortable leading frontline teams and collaborating cross-functionally with clinical, data, and technology partners. You take ownership of challenges, enjoy problem-solving, and have a track record of creating order out of complexity. Whether refining internal processes or implementing new platforms, you bring operational discipline, strong communication skills, and a deep commitment to service excellence.
What You'll Do

• Core Accounting & Compliance - AP, AR, GL, payroll, GAAP compliance, audit liaison, tax/regulatory filings.
• Financial Planning & Analysis - Budgeting, forecasting, cash flow management, variance analysis, KPI tracking.
• Strategic Partnering & Leadership - Support business cases (growth, acquisitions, partnerships), advise CEO/board, implement systems, drive continuous improvement.
• Oversee all accounting operations, including accounts payable, accounts receivable, general ledger, payroll, and financial reporting.
• Develop and implement financial policies, procedures, and internal controls to ensure accuracy and compliance with GAAP and other regulatory requirements.
• Prepare and present monthly, quarterly, and annual financial statements to the executive team and board of directors.
• Lead the budgeting process, working closely with department heads to develop accurate and realistic budgets that align with company goals.
• Manage cash flow and forecasting to ensure the company has the financial resources to meet its obligations and growth targets.
• Analyze variances between actuals and budget, providing insights and recommendations for corrective actions.
• Provide financial insights and analysis to support strategic decision-making, including new product launches, market expansion, and potential partnerships.
• Assist in developing and evaluating business cases for investments, acquisitions, and other growth opportunities.
• Collaborate with the CEO and leadership team to set financial goals and KPIs, tracking progress and making adjustments as necessary.
• Coordinate annual audits and act as the primary liaison with external auditors.
• Ensure compliance with all financial regulations, tax filings, and reporting requirements.
• Maintain up-to-date knowledge of industry trends, regulations, and best practices.
• Evaluate and implement accounting systems and tools to streamline processes, improve accuracy, and support scalability as the company grows.
• Drive continuous improvement initiatives in financial reporting, budgeting, and operational efficiency.

What You'll Bring

We are always looking for new team members who will add to our company's DNA and have a strong passion for impact. None of the following are requirements, but they describe the qualities and skills that we think will help a candidate be successful in this role.

• Bachelor's Degree in Accounting, Finance, or related field
• 5+ years of accounting and/or finance experience
• CPA, CFA, or equivalent credential strongly preferred.
• Public accounting foundation plus operational finance experience
• Demonstrated ability to manage accounting operations and partner with executive leadership.

What We Offer

• Direct Impact: Play a pivotal role in shaping a platform that directly affects how care is provided to patients.
• Agile Environment: A small, vertically integrated team that empowers quick decisions and nimble execution.
• Competitive Benefits: We offer a comprehensive benefits package, including health insurance, retirement plans, and paid time off.
  • Yearly Salary Commensurate with Experience
  • Full Benefits
  • Employee funded 401k

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based upon age, color, handicap or disability, ethnic or national origin, race, religion, religious creed, gender (including discrimination taking the form of sexual harassment), marital, parental or veteran status, sexual orientation, gender identity, or gender expression.