VP of Accounting

About

is an award-winning digital health company focused on identifying people with obsessive-

compulsive disorder (OCD) and managing them using evidence-based treatment. OCD affects over 181

million people globally and is ranked by the World Health Organization as one of the top 10 most

disabling conditions. Despite this, over 90% of people with OCD are unable to access effective care due

to stigma and misdiagnosis—earning it the nickname “the secret illness.”

is solving this global problem by identifying OCD patients online and managing them using our

evidence-based OCD treatment platform. Members can access licensed mental health professionals with

specialized training in OCD, receive video-based tele-therapy, and engage with tech-enabled tools and

moderated communities for continuous support.

Today, manages the largest community of OCD patients in the world—and we’re just getting

started

About The Role

The Vice President of Accounting will be a key financial leader at , responsible for building and scaling the accounting infrastructure of a rapidly growing virtual healthcare organization with 1,400+ employees and 50%+ annual growth. This leader will oversee all accounting operations, strengthen and automate financial processes, improve close timelines, ensure accurate GAAP reporting and compliance, and optimize Sage Intacct and other financial systems. The VP will also lead revenue recognition, internal controls, audits, tax and compliance activities, cash management, and the development of a high-performing accounting team, while partnering closely with the CFO, executive leadership, Board, and other stakeholders to build the financial foundation needed to support 's continued growth.

Requirements

• Bachelor’s degree in accounting, Finance, or a highly quantitative field.
• Certified Public Accountant (CPA) license.
• 15+ years of progressive accounting leadership experience.
• At least 7+ years of experience operating as a Controller or Vice President within a high-growth

organization.

• Proven experience operating within an organization of 1,000+ employees experiencing rapid

growth.

• Experience supporting or participating in major capital events, including private equity and debt

financing rounds.

• Expert-level knowledge of U.S. GAAP, including ASC 606 (Revenue from Contracts with

Customers) and ASC 842 (Leases).

Preferred

• Master’s degree in accounting or an MBA.
• Public accounting experience, particularly with a Big Four or next-tier accounting firm.
• Experience leading accounting systems transformation, ERP optimization, and process

automation within a high-growth environment.

Why Work with

We’re committed to supporting your growth, both professionally and personally. With an inclusive culture

and ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

At , you will:

• Help scale one of the fastest-growing specialty behavioral health organizations in the world.
• Work directly with operational, clinical, product, and business leaders to solve meaningful

challenges at scale.

• Use data, technology, and critical thinking to drive measurable improvements in member

outcomes and business performance.

• Contribute to a mission that helps people reclaim their lives from one of the world's most disabling

mental health conditions.

• Build your career in a high-growth environment where ownership, innovation, and execution are

valued and rewarded.

• Play a role in shaping the future of Noto as we expand beyond OCD into additional behavioral

health specialties.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what

they do, is the place for you.

What We Offer

• Comprehensive benefits package, including medical, dental, vision coverage, and 401(k) match

● PTO based on an accrual system

• Casual and engaging startup environment with an outstanding mission-driven team atmosphere
• provides 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of

fully paid leave for the secondary caregiver, for qualifying full-time employees.

Pay Transparency

The expected pay range for this position is $190,000 to $225,000. Actual pay will be based on the individual’s qualifications and experience. This role is also eligible for annual performance-based incentives tied to individual achievement and company-wide goals.