Controller

Elevation Spine is a scaling medical device company the designs, develops and commercializes implants for use in spine surgery. We have experienced a 73% CAGR in revenue for the past 5 years with 90% gross margins. We have received two new FDA approvals in 2026 and are hiring across all functions of the company to support future expected growth. We are seeking an experienced and detail-oriented Controller to join our growing team. The Controller will be responsible for overseeing all financial operations and reporting, ensuring compliance with industry regulations, and facilitating strategic financial planning. The ideal candidate will have a strong background in finance and accounting within a startup or medical device environment and have experience with manufacturing operations. This role can be remote with occasional travel to our office in Monterey, CA. Key Responsibilities Financial Management: · Oversee all financial operations, including budgeting, forecasting, and financial reporting for internal and external use. · Manage cash flow, working capital, and financial position to support company growth. · Develop and implement financial policies, procedures, and controls to enhance operational effectiveness for a growing medical device startup. · Accounting: · Ensure accurate and timely bookkeeping and financial statement preparation. · Manage accounts payable and receivable, payroll, and general ledger activities. · Strategic Planning: · Collaborate with executive leadership to develop short and long-term financial strategies that align with business objectives. · Analyze financial performance metrics and prepare reports for the leadership team and Board of Directors. · Provide financial insights and recommendations to guide strategic decision-making. · Collaborate with the manufacturing and quality teams on inventory management and stand up an integrated ERP solution for managing purchasing, inventory, and accounting functions. Qualifications: · Bachelor’s degree in Accounting, Finance, or a related field; CPA or CMA preferred. · 5+ years of experience in finance and accounting, with at least 2 years in a controller role, ideally within a medical device or healthcare startup environment. · Strong understanding of accounting principles (GAAP/IFRS) and financial regulations pertinent to the medical device industry. · Proven experience with financial modeling, budgeting, and forecasting. · Excellent analytical, problem-solving, and decision-making skills. · Strong leadership and team management abilities. · Proficiency in accounting software and financial management tools (e.g., QuickBooks, · NetSuite, Excel). · Experience with ERP systems. Applicants should send a cover letter and resume to cgilbride@elevationspine.com. Salary commensurate with experience. It is the policy of Elevation Spine not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status. Pay: $125,000.00 - $175,000.00 per year Benefits: 401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Work Location: Remote