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Clinical Specialist Manager, Core Lab
Roche
Indianapolis, IN
- $139,400 to $259,000 USD / year
The ideal candidate is not purely clinical or technical, but a strategic operator who can synthesize complex information, align stakeholders, and lead with discipline to scale impact…
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Receiving Forklift Operator (3rd Shift)
Performance Food Group
MD
…are met and to maintain the efficient flow of the production process. Functions as a team member within the department and organization, as required, and perform any duty assigned to best…
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HU
Combo Operator - Crossbore
Hydromax USA
Charlotte, NC
- $30 to $35 USD / hour
Your role as a Combo Operator involves the safe and efficient operation of a Combo/Jet-Vac Truck to clean underground pipes, vaults, and tanks using high-pressure water and vacuum…
Added 1 min ago
CO
Property & Records Supervisor
City of White Settlement
White Settlement, TX
- $58,240 to $63,000 USD / year
Strong project management and organizational, strategic thinking, planning, and process improvement skills.
Added 1 min ago
TC
Director of Transportation
The County Connect
Concord, CA
- $123,754 to $239,399 USD / year
Coordinate with Safety & Training to ensure effective Operator, Supervisor, and compliance training programs.
Added 1 min ago
Manufacturing Technician
Power Brace Mfg.
Osceola, IA
We are seeking a reliable, safety-focused Press Operator to join our growing manufacturing team. The ideal candidate will be responsible for operating a stamping press while maintaining…
Added 2 mins ago
Excavator Operator - Heavy Industrial Construction
Robinson Construction
Lebanon, IN
Robinson Construction is a Design-Build General Contractor specializing in the completion of process-intense manufacturing facilities throughout the United States. Our clients include heavy…
Added 2 mins ago
Web Lead
LangChain
San Francisco, CA
…and growth engineering. Run the intake, review, and launch process so teams can ship web changes with speed and…
Added 4 mins ago
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Bag Machine Operator - 2nd Shift
Novolex
Brookshire, TX
- $18.75 USD / hour
Reporting to the Shift Supervisor, Adjuster and Team Lead, the Bag Machine Operator will operate the machine, visually inspecting outgoing products to ensure quality and pack/stack bundles…
Added 4 mins ago
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Expert Engineer Industrial Services
Nestle Operational Services Worldwide SA
St. Louis, MO
- $122,319 to $167,691 USD / year
…treatment, discharge compliance, incoming water quality, potable/process water systems, food safety and chemical contamination prevention. Working closely with cross-functional teams and…
Added 4 mins ago
Senior Technical Trainer-Tacoma
Tacoma, WA
Added 6 mins ago
Utilities Senior Operator (Night Shift) - Lilly Medicine Foundry
Eli Lilly and Company
United States
The Utilities Senior Operator is a self-directed team member who demonstrates a solid working knowledge of utility systems operations and equipment maintenance at the Lilly Medicine Foundry…
Added 7 mins ago
Clinical Business Development Director - SNF
Teton.ai
Remote, United States
- Make the clinical and financial case. Show value in operator terms: falls with injury, Five-Star quality measures, survey risk such as F689 (accidents and supervision), readmissions,…
Added 7 mins ago
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Partsman
Volvo Group
Sacramento, CA
- $42.74 USD / hour
Process emergency part orders in a timely manner.
Added 7 mins ago
Jr. Video Editor
Utah Mammoth
Sandy, UT
…a master of their craft, well-versed in the post-production process, and telling concise, visually pleasing stories ranging from short-form to long-form content. The ideal candidate should…
Added 7 mins ago
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Store Manager
Joe's Kwik Mart
Buffalo, NY
- From $22 USD / hour
CrossAmerica Partners is a leading wholesale distributor of motor fuels, operator of convenience stores, and owner and lessor of real estate used in the retail distribution of motor fuels.…
Added 7 mins ago
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Food Service Team Members
Joe's Kwik Mart
Panama City Beach, FL
- From $15.5 USD / hour
CrossAmerica Partners is a leading wholesale distributor of motor fuels, operator of convenience stores, and owner and lessor of real estate used in the retail distribution of motor fuels.…
Added 7 mins ago
Quality Control Operator
Susonity LLC
Port Wentworth, GA
As a Quality Control Operator, you'll be responsible for performing daily QC testing for raw materials, intermediates, and finished goods. The primary focus is performing tasks which…
Added 8 mins ago
Filler Operator II AWS Nights
Gehl Food & Beverage
Germantown, WI
Filler Operator?is primarily responsible?for?the safe and efficient operation of their?assigned production filler, associated process system, and packaging equipment as necessary.? At this…
Added 10 mins ago
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Associate, Renewables Asset Management
Invenergy LLC
Chicago, IL
- $90,000 to $108,000 USD / year
Invenergy is North America’s largest privately held developer, owner, and operator of power infrastructure. With 25 years of trusted execution, we deliver reliable, affordable energy…
Added 10 mins ago
Quality Control Team Member
BrandsMart
HOLLYWOOD, FL
…some cases, the associate may be cross trained as a Forklift Operator to be able to fill in during breaks, vacations, and other special circumstances, as directed by…
Added 11 mins ago
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Strategy and Program Manager
Adyen
NY
- $145,000 to $180,000 USD / year
This role is for a strategic operator who connects commercial ambition, technical innovation, and operational delivery. You won’t be tracking tasks. You’ll be taking on the hardest,…
Added 11 mins ago
Wastewater Plant Operator
H2O Innovation Inc.
Austin, TX
H2O Innovation is seeking a Wastewater Treatment Plant Operator for a newly constructed, state-of-the-art Membrane Bioreactor (MBR) Wastewater Treatment Facility serving the Texas Division…
Added 13 mins ago
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Extrusion Associate 1 - 2nd shift
Cornerstone Building Brands
Welcome, NC
- $16 USD / hour
The Extrusion Operator is responsible for the fabrication and production of the component parts for the final assembly of windows. Successful candidates enjoy working in a fast-paced,…
Added 14 mins ago
Director of People Development
Chick-fil-A
Anderson, SC
If currently employed by another Chick-fil-A Owner/Operator, approval must be obtained.

Ascertain

Fractional Controller

Remote, United States

$8,000 to $11,000 USD / month

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Job details

Pay: $8,000 to $11,000 USD / month
Experience: 8+ years of accounting experience, beginning in public accounting
Posting language: English
Posted: Nov 6, 2026

Original job description

MEET ASCERTAIN

Ascertain is building AI agents to automate the administrative work that burdens care teams. We are in major health systems and large specialty groups, saving hundreds of staff hours every week.

Our backers include Northwell Health, New York’s largest health system, and Deerfield Management, a leading healthcare investment firm.

Together, we’re on a mission to restore time, trust, and focus to the people who keep healthcare running. Our work is urgent - not because of startup timelines, but because our customers rely on us to drive financial resilience and operational clarity in a system under strain.

ABOUT THE ROLE

As Ascertain’s Fractional Controller, you will own the integrity of our financial reporting and the accounting judgments behind it. You will work directly with our Director of Operations & Finance and direct the work of our outsourced accounting partner.

This is not a bookkeeping role. Our accounting partner handles transaction processing and runs the monthly close. You will set accounting policy, review and sign off on the close, and make sure our financial statements hold up to scrutiny from auditors, investors, and partners.

You will also own the cost data behind our unit economics. We earn both software and services revenue from health systems and specialty groups. How we classify and allocate cost directly shapes how leadership manages the business.

This is a contract engagement of about two days per week, one of them on site in our Durham office. There is an option to increase the commitment as the company grows.

WHAT YOU’LL DO

Accounting Policies & Technical Guidance: Establish and document GAAP-compliant accounting policies covering revenue recognition (ASC 606), cost of revenue, cost allocation, capitalized software, stock-based compensation, and accruals. Prepare technical accounting memos for material or complex accounting decisions.
Monthly Close & Financial Reporting: Oversee the monthly close process performed by our outsourced accounting partner. Review and approve reconciliations, journal entries, revenue schedules, and financial statements, ensuring accurate and timely reporting against an established close calendar.
Outsourced Accounting Oversight: Serve as the technical accounting lead for our outsourced accounting partner, providing guidance on complex transactions, establishing review standards, resolving accounting issues, and ensuring accountability for agreed deliverables.
Cost Accounting & Unit Economics: Develop and maintain a defensible methodology for allocating labor, infrastructure, and other delivery costs. Produce a monthly gross margin analysis by customer and revenue stream, reconciled to the general ledger, to support financial and operational decision-making.
Audit Readiness & Financial Controls: Establish and maintain the accounting documentation, reconciliations, supporting schedules, and internal controls necessary for audit readiness. Coordinate with external auditors and tax advisors on accounting matters, financial reporting, and compliance requirements.
Finance Systems & Scalability: Assess our existing accounting systems and processes, identify opportunities for improvement, and develop a roadmap for scalable financial infrastructure. Lead accounting requirements and implementation oversight for an ERP or other finance technology as business needs evolve.

WHAT YOU’LL NEED

Active CPA license
8+ years of accounting experience, beginning in public accounting
Controller or senior technical accounting experience at a venture-backed technology or healthcare company
Hands-on ASC 606 experience with contracts that include implementation fees, pilots, or usage-based pricing
Experience leading companies through financial statement audits and external financial reviews
Experience designing cost allocation and gross margin reporting for software or services businesses
Experience leading a finance systems or ERP implementation, such as NetSuite, Sage Intacct, or a comparable platform
Based in the Research Triangle area and able to work on site in Durham one day per week
Healthcare services or health technology experience, including work under HIPAA, is a big plus

WHAT YOU’LL BRING TO THE TABLE

Technical Accountant: You know GAAP deeply and can write a position that holds up to an auditor’s review.
Independent Reviewer: You tell leadership when the numbers are right, and you say so plainly when they are not.
Steady Hand: You apply the same policy period after period and document the reason for any change.
Operator: You direct an outside team with clear standards, deadlines, and review.
Business Partner: You understand that cost classification shapes how the company is managed, and you explain accounting choices in plain language.
Systems Thinker: You build processes and documentation that hold up as the company grows.

WHAT SUCCESS LOOKS LIKE

Within the first 90 days, we expect you to have:

Assessed our existing accounting practices and established a prioritized plan for bringing them to the next level.
Established a consistent monthly close and review process with our outsourced accounting partner, including defined deadlines, responsibilities, and sign-off procedures.
Documented our key accounting policies and identified any areas requiring additional technical analysis or adjustments.
Established a defensible cost allocation methodology that supports customer-level gross margin reporting.
Evaluated our existing accounting systems, identified scalability limitations, and recommended improvements to our financial reporting infrastructure.
Ongoing success means accurate and timely financial reporting, well-documented accounting decisions, reliable unit economics, and an accounting function that can scale.

Why Ascertain? Make a real difference: Your work will directly impact healthcare organizations and improve patient care. Join Ascertain in transforming healthcare with AI!

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