About Us

At SimplePractice, we are improving access to quality care by equipping health and wellness clinicians with all the tools they need to thrive in private practice.

More than 250,000 providers trust SimplePractice to build their business through our industry-leading software with powerful tools that simplify every part of practice management. From admin work to clinical care, our suite of innovative solutions work together to reduce administrative burden—empowering solo and small group practitioners to thrive alongside their clients.

Award-winning and people-first, SimplePractice is shaping the future of health tech. Recognized by MedTech Breakthrough, the Digital Health Awards, and BuiltIn's Best Places to Work.

The Role

SimplePractice is looking for an Assistant Controller to own the core accounting operations of the business — general ledger integrity, month-end close, internal controls, treasury, and cross-functional partnership — at a pivotal moment in the company's growth.

As a profitable, PE-backed US federal taxpayer, this is a real-stakes environment where accuracy and disciplined accounting operations directly impact our bottom line and tax position. The right person brings Big 4 roots, deep SaaS/fintech/health-tech operating experience, and a genuine drive to deploy AI and automation to make the team faster and more scalable. Revenue recognition and technical accounting are managed separately, allowing this role to go deep on the accounting infrastructure that underpins the business.

Responsibilities:

General Ledger & Close
- Own GL integrity across all legal entities
- Lead and continuously improve the monthly, quarterly, and annual close cycle.
- Review and approve journal entries, reconciliations, and supporting schedules.
- Oversee balance sheet management including accruals, prepaids, fixed assets, and intercompany eliminations.
Controls & Reporting
- Design and maintain a strong internal controls environment.
- Lead the annual external audit as primary liaison with auditors.
- Support financial reporting to PE sponsors and lenders, including variance commentary and supporting schedules.
- Ensure accounting policies are documented and consistently applied.
Treasury & Cash Management
- Oversee daily cash management and liquidity monitoring.
- Manage banking relationships and account administration.
- Support cash flow forecasting with FP&A.
- Ensure compliance with debt covenants related to cash reporting and liquidity thresholds.
Accounts Payable, Payroll & Operational Accounting
- Oversee AP operations, payroll accounting, fixed asset accounting, prepaid tracking, and intercompany accounting across US and international entities including our Mexico subsidiary.
Procurement Partnership
- Collaborate with sourcing and procurement to ensure vendor contracts and spending commitments are properly reviewed, approved, and recorded.
- Provide accounting guidance on contract structuring, capitalization determinations, and period-end accruals.
- Support the procure-to-pay cycle and vendor onboarding process.
Systems, AI & Process Improvement
- Serve as functional owner of NetSuite.
- Partner across the accounting tech stack — FloQast, Numeric, Zip, Brex, Stripe, and Chargebee.
- Actively identify and deploy AI and automation tools to reduce manual effort and scale capacity. Lead broader process improvement initiatives as the business grows.
Team Leadership
- Manage and develop a team of accountants. Build a culture of continuous improvement and comfort with AI-assisted workflows.
- Partner closely with FP&A, Tax, People, Legal, and Sourcing. Support special projects including M&A diligence and PE reporting.

Desired Skills & Experience:

Bachelor's in Accounting or Finance; CPA required
7+ years of progressive accounting experience, including 2–3 years at a Big 4 firm
Significant experience at a high-growth SaaS, fintech, or health-tech company
Deep hands-on NetSuite experience; strong GL ownership background
Proven team leadership and external audit experience
Strong US GAAP knowledge across fixed assets, prepaids, accruals, payroll, AP, intercompany, and treasury
Genuine curiosity about AI and automation in accounting; familiarity with US sales tax

Strongly Preferred Experience:

Experience at a PE-backed company with sponsor/lender reporting requirements
Prior experience at a profitable US taxpaying company with income tax provision involvement
Hands-on AI tool deployment within an accounting or finance function
Multi-entity and international accounting exposure
Experience with FloQast, Numeric, Chargebee, or Stripe
M&A, entity restructuring, or internal controls build-out experience

Benefits

We offer a competitive benefits program including:

Medical, dental, vision, life & disability insurance
401(k) plan with company match
Flexible Time Off (FTO), wellbeing days, paid holidays, and summer Fridays
Mental health resources
Paid parental leave & Backup Care
Tuition reimbursement
Employee Resource Groups (ERGs)
California Job Applicant Privacy Notice

Thank you for your interest in opportunities at SimplePractice LLC (“SimplePractice” or “us” or “we” or “our”). Please note that when you submit your resume or application materials to us for employment purposes, you are subject to the SimplePractice California Job Applicant Privacy Notice.

For more information about our privacy practices, please contact us at privacy@simplepractice.com.

Base salary is one component of total compensation. Employees may also be eligible for an annual bonus or commission. Some roles may also be eligible for overtime pay.

The amount below represents the expected annual base compensation range for this job requisition. Ultimately, in determining your pay, we’ll consider many factors including, but not limited to, skills, experience, qualifications, geographic location, and other job-related factors.

Base Compensation Range

$200,000—$250,000 USD

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