About Sequel

Sequel, headquartered in Manchester, New Hampshire, is a company developing the next generation of transformative drug-delivery advancements starting with diabetes. Sequel’s approach is to look at diabetes management holistically to advance systems that make living with diabetes simpler and easier for all. Sequel’s flagship product, the twiist Automated Insulin Delivery (AID) System, launched in July 2025 for people with type 1 diabetes providing them with personalized diabetes management. 

Job Overview

Reporting to the Chief Financial Officer, the Controller will lead the company’s accounting operations during a period of rapid growth and increasing complexity. This role is responsible for ensuring accurate financial reporting, strong internal controls, and scalable processes in a commercial, product‑based organization as Sequel prepares for a future initial public offering.

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Job Responsibilities and Essential Duties

Maintain and enhance accounting policies, internal controls, and financial reporting systems.
Lead the monthly, quarterly, and annual close process with an emphasis on accuracy, timeliness, and scalability in preparation for public company reporting requirements.
Prepare, schedule, and manage General Ledger activity for monthly and year-end GAAP audit and tax compliance.
Oversight of revenue recognition under ASC 606, including collaboration with Revenue, Legal, and Commercial teams.
Oversight of accounting for product sales, returns, rebates, chargebacks, and reserves.
Partner with FP&A on revenue forecasting, budgets and projections.
Monitor Accounts Receivable and coordinate proactive collection efforts with AR Specialist.
Manage banking activity and act as primary finance/treasury contact for banks and other relevant authorities and institutions.
Collaborate with Supply Chain and Operations on inventory controls.
Prepare, review, and analyze company financial statements including all revenue, expense, and balance sheet details. Provide custom reports to senior leadership, owners, and lenders.
Implement and maintain cost accounting systems and controls to accurately track manufacturing costs and ensure compliance with financial regulations and standards. Analyze cost drivers, identify areas for cost reduction, and develop strategies to improve operational efficiency.
Lead the design, documentation, and testing of SOX compliant internal controls.
Ensure readiness for external audits under PCAOB standards.
Provide support for IPO related diligence, audits, and registration statement preparation.
Partner with Legal and external advisors on governance and compliance.
Manage external auditor relationships and audit processes according to US GAAP.
Foster a culture within Finance that strives for continuous improvement and rewards outstanding performance, delivering best-in-class financial governance and control.
Hire, onboard, train, and lead accounting team members.
Build cross-functional relationships across the company to develop communication and influence across the business, leveraging expertise for financial decisions.
Oversee the safeguarding of all corporate assets.
Continually monitor processes and controls to identify efficiencies while maintaining accuracy.

Minimum Requirements

BS Accounting or similar finance or business degree required. MSA, MBA or CPA strongly preferred.
Experience in public accounting is preferred.
12+ years of progressive accounting experience, including leadership in a commercial, product-based organization.
Prior experience supporting a late-stage private company, IPO, or public company.

Required Knowledge, Skills and Abilities

Previous SEC reporting experience.
Strong systems skills, prior experience implementing new systems.
Hands-on accounting experience, including operational accounting, financial reporting & month-end close.
Prior experience working with and preparing analysis and reporting for private equity firm, C-suite, Board of Directors, etc.
Experience providing executive level communication with CFO, CEO, Audit Committee, and Board.
Ability to operate in a high growth, regulated, commercial environment.
Experience partnering cross functionally with Commercial, Supply Chain, Legal, and Quality.
Confident and capable leader of people, able to identify and develop top talent, excellent mentorship abilities.
Experienced in building out policies and procedures.
Proven experience in partnering with the business and building strong relationships throughout the organization.
Able and willing to work a hybrid schedule in our Manchester, NH office.

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$260,000 - $295,000 a year

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Sequel Med Tech provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

At Sequel, we believe that when you thrive, we thrive. That’s why our benefits package is designed to support you from day one. You’ll be automatically enrolled in our 401k plan, featuring a 6% company match and 100% immediate vesting. We’re committed to your well-being and understand the unique needs of employees and families living with diabetes, so we offer capped out-of-pocket insulin costs and GLP-1 coverage across all plans. You’ll have access to a variety of Meritain health insurance plans to suit your needs and can also take advantage of Flexible Spending Accounts (FSAs) or Health Savings Account (HSA). Our comprehensive benefits package includes vision and dental coverage, plus voluntary options such as long-term disability, accident, critical illness, hospital indemnity, and even discounts for pet care. In addition, we provide employer-paid short-term disability and life insurance for extra peace of mind.

We know the importance of taking time to rest and recharge. That’s why Sequel offers flexible PTO, generous paid holidays, and Flex Time options to help you balance work and life when you need it most. Our team enjoys a culture built on hard work, fun, and genuine support. At Sequel, you’re not just starting a job, you’re building a rewarding career and a brighter future. Join us, and let’s thrive together!

Environmental/Safety/Physical Work Conditions

Ensures environmental consciousness and safe practices are exhibited in decisions

Use of computer and telephone equipment and other related office accessories/devices to complete assignments

May work extended hours during peak business cycles

Physical requirements such as lifting specific weights

Some travelling is expected

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