If you got into healthcare to make a difference, you’re in the right place. We’re looking for a values-driven, mission-focused, dynamic Controller who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. If that’s you, read on!

What’s Rippl?

At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we’re ready to take action.

We’re reimagining what dementia care for seniors can be. By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around dementia care, for seniors and their families and caregivers. Helping them stay healthier, at home longer, and out of the ER and hospital.

Our Mission

The Rippl Mission is to enable more good days for those living with dementia and their families.

Our Core Values

At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers.

We’re fed up. Today’s dementia care isn’t working. Too many families are struggling to find the support they need, and too many seniors are left without the care they deserve. We know it can be done better—so we’re doing it.

We’re changemakers. We’re pioneering a new, better care model that actually works for people living with dementia and their families. We use evidence-based care, technology, and human connection to deliver the support that people need—when and where they need it. And we’re proving it works.

We’re in a hurry. The need for high-quality dementia care has never been greater. The number of people living with dementia is growing at an unprecedented rate. Families need help now, and we refuse to wait.

We start with yes. We don’t let barriers stop us. When faced with a challenge, we figure it out—together. We’re problem-solvers, innovators, and doers who find a way to make things happen for the people who need us.

We care for those who care for others. Great care starts with the people delivering it. We are obsessed with supporting our care team—because when they feel valued and empowered, patients and caregivers get the care they deserve.

Join the movement

We’re looking to find other changemakers who are ready to join our movement.

The Role:

The Controller is responsible for leading all accounting and payroll functions, ensuring financial accuracy, compliance, and efficient operations across the organization. This role partners closely with HR, Operations, and leadership to align financial strategy with business goals, oversee multi-entity accounting, and drive process improvements. This is an exciting opportunity for a seasoned accounting leader who thrives in a fast-growing environment and wants to make a meaningful impact on organizational growth and financial governance.

Essential Functions:

People Strategy & Organizational Design

• Manage, mentor, and develop accounting and payroll team members.
• Partner with HR to maintain employee compensation data, benefits deductions, and payroll-related systems.

Operational Strategy & Scaling

• Oversee all day-to-day accounting functions including general ledger, AP/AR, fixed assets, revenue recognition, and month-end close.
• Direct all payroll operations to ensure accurate, compliant, and timely payroll processing for all employees.
• Oversee payroll tax filings, wage reporting, and year-end processing (W-2s, 1099s, etc.).
• Establish and maintain robust internal controls, policies, and procedures to safeguard assets and ensure financial integrity.
• Ensure timely and accurate preparation of monthly, quarterly, and annual financial statements in accordance with GAAP.
• Review journal entries, account reconciliations, and variance analyses to maintain financial accuracy.
• Lead initiatives to improve operational efficiency, automation, and financial governance.
• Oversee financial systems, ERP platforms, and payroll systems to ensure accuracy, data integrity, and scalability.
• Lead process improvement initiatives across accounting, procurement, and payroll workflows.
• Implement best practices to streamline close cycles and reduce manual workloads.

Strategic Judgment & Prioritization

• Support CFO in developing annual budgets, financial forecasts, and scenario modeling.
• Provide insights into operational and financial performance, highlighting risks and opportunities.
• Partner with leadership to support financial strategy, cost optimization, and resource planning.

Organizational Alignment & Strategic Partnerships

• Partner with HR, Operations, IT, and other departments to ensure consistent alignment.
• Communicate financial results and implications to senior leadership in a clear, actionable manner.

Change Strategy & Transformation

• Lead annual audit activities, liaise with external auditors, and ensure successful completion with minimal findings.
• Ensure compliance with federal, state, and local wage and hour laws.
• Ensure compliance with GAAP, regulatory requirements, corporate policies, and audit standards.

Qualifications:

• Bachelor’s degree in Accounting, Finance or related field
• Must have 7+ years of progressive accounting experience, with at least 3–5 years in a Controller or senior leadership role.
• CPA strongly preferred; Audit experience preferred.
• Sage Intacct experience with exposure to multi-entity environments, financial reporting, advanced inter-company transactions, revenue recognition, and third-party integrations preferred.
• Proven track record of leading teams and building out functions.
• Multi-site / Multi-state accounting leadership experience in Behavioral Health or Telehealth related medical practice management.
• Accounting experience with multiple legal entities, including arms-length professional medical entities associated with Management Services Agreements (MSAs).
• Experience with Medical Practice Revenue Cycle Management (RCM), GAAP rules related to revenue recognition, and integrations with third-party RCM providers.
• Familiarity with both commercial payers and Medicare/Medicaid payers.
• Experience integrating third-party employee expense management systems (e.g., Ramp).
• Experience working with a shared chart of accounts structure.
• Experience with budgets/ forecasting with financial and statistical data.
• Experience with revenue and cost allocation methodologies.
• Regularly update and maintain internal controls and external user access to accounting systems.
• Experience with eliminations and consolidations.
• Experience with internal and external financial report presentation.

What’s in it for you

• Development, mentoring and training programs designed to help you chart your dream career and make sure you are learning everything you need to know as you gain more responsibility
• Fast growth company with opportunities to take on more responsibility or develop into new roles
• Flexible work environment and the opportunity to work from home
• Competitive compensation
• Annual bonus eligibility
• Equity in the form of stock options
• 401(k) plan with a company contribution
• Medical, Dental and Vision coverage for you and your family
• Life insurance and Disability
• Remote Work stipend
• Generous Paid Time Off

Pay Range Details

The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location.

Role: Range is $140,000 - $185,000 depending on experience

We are going to make some very big waves starting with a small Rippl - come join us!