Assistant Controller, US

Neko Health is a Swedish healthcare technology company co-founded in 2018 by Hjalmar Nilsonne and Daniel Ek. Neko's vision is to shift healthcare from reactive treatment toward preventative health and early detection. This requires completely reimagining the patient's experience and incorporating the latest advances in sensors and AI. Neko Health has developed a new medical scanning technology concept to make it possible to do broad and non-invasive health data collection that is convenient and affordable for the public. The company is based in Stockholm, offering the Neko Body Scan experience at locations in Stockholm, London and Manchester, with over 500 employees.

Reporting to: Group Financial Controller (based in Sweden)

As Neko expands into the US market, we are seeking our first finance hire in the region to take ownership of all accounting and transactional bookkeeping for our US entities. This is a hands-on role ideal for someone who has previously joined a high growth scale-up during its early growth phase, and is comfortable building processes from the ground up, managing end-to-end reporting and fiscal / tax compliance responsibilities and leveraging technology to build high performing accounting teams. Initially you will be responsible for ensuring accurate financial records including revenue recognition and capex reporting, managing accounts payables, and supporting tax reporting in collaboration with external service providers. You will also be responsible for building the right US accounting team capabilities in collaboration with the Group Financial Controller and CFO.

The Salary range for this role is USD190,000 - USD235,000

Key Responsibilities:
• Manage day-to-day accounting for all US entities, including general ledger, journal entries, and reconciliations.
• Own the accounts payable process: invoice coding, vendor payments, and expense reimbursements.
• Reconcile bank accounts and credit card settlements.
• Support legal team with the registration of new legal entities
• Ensure compliance with local and federal tax regulations.
• Prepare and file tax reports in collaboration with external tax advisors.
• Complete month-end and year-end close processes, including intercompany transactions and reporting to the Swedish HQ.
• Lead the audit preparation process for US entities and respond to third-party financial information requests.
• Maintain documentation and internal controls aligned with Neko’s global standards.
• Contribute to the implementation of ERP systems (e.g., Business Central) and automation initiatives.
• Build and manage a high performing US accounting team.

Qualifications:
• 7–10 years of experience in accounting, preferably in a fast-paced, mid-sized business.
• Certified Public Accountant (CPA) - beneficial but not essential.
• Proven experience as an early finance hire or sole contributor in a growing organisation.
• Track record in building high performing, engaged finance teams.
• Strong understanding of US GAAP/IFRS and tax reporting requirements.
• Strong understanding of internal control frameworks; experience with Sarbanes Oxley (SOX) compliance a plus
• Experience with ERP systems for mid-large sized enterprises (Microsoft Business Central preferred).
• Comfortable working independently and cross-functionally across time zones.
• Bachelor’s degree in Accounting or Finance

Preferred Attributes:
• Self-driven and solution-oriented.
• High attention to detail and accuracy.
• Adaptable to change and thrives in a dynamic environment.
• Strong communicator with the ability to collaborate across borders.

We offer a dynamic work environment with a high degree of autonomy that fosters growth and development. If you are passionate about building a better healthcare system for everyone and you thrive in a fast-paced environment, we would love to hear from you!

Please note: we perform background and reference checks as part of our interview process.