About this role
Astrana Health is a physician-centric, technology-powered healthcare company enabling providers to deliver high-quality, value-based care. We partner with thousands of physicians across the country through our risk-bearing Care Partners segment, the largest and most complex part of our accounting organization, where capitation revenue, claims liability, and risk-pool settlements come together. This is a high-visibility role at the intersection of technical accounting, operational controllership, and public-company compliance.
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
What You'll Do
- Own the Care Partners general ledger, close calendar, and period-end reporting — delivering financial statements, flux analysis, and balance-sheet substantiation to the CFO and CAO each period.
- Drive close acceleration and standardization across all segment entities, reducing cycle time and eliminating recurring out-of-period adjustments.
- Design, document, and operate SOX 404 controls for the segment — revenue, capitation, claims, IBNR, risk-pool settlements, and related IT-dependent controls — and lead remediation where deficiencies exist.
- Own the accounting for complex revenue arrangements, including professional and institutional capitation, shared-risk settlements, and quality-based payments.
- Partner with Actuarial and Medical Economics on claims liability and incurred-but-not-reported (IBNR) estimates — understanding the model, challenging inputs, and owning the accounting conclusion.
- Lead integration of acquired physician groups and IPAs onto the company's policies, chart of accounts, close calendar, and control framework.
- Identify and reduce manual effort across the segment — reconciliations, journal entries, spreadsheets — and act as the accounting owner for automation and ERP initiatives.
- Coordinate with the external auditor, internal audit, and regulatory examiners as the segment's primary accounting contact.
- Lead and develop the segment accounting team across multiple offices, building bench strength and eliminating single points of failure.
Qualifications
- Bachelor's degree in Accounting, Finance, or a related field; CPA required
- 10+ years of progressive accounting experience, including 3+ years leading a multi-entity accounting or controllership function
- Deep, current knowledge of US GAAP and SEC registrant reporting requirements
- Demonstrated hands-on ownership of SOX 404 — designing and documenting controls, remediating deficiencies, and supporting external audit testing — in a public company setting
- Healthcare experience in a risk-bearing or capitated environment (managed care, IPA, medical group, health plan, or comparable value-based care organization) with direct exposure to capitation revenue, claims expense, and IBNR estimates
- Proven track record of close acceleration, multi-entity standardization, and accounting automation
- Ability to lead teams across multiple locations and communicate directly with executives and auditors
Preferred Qualifications
- Big Four or national firm audit experience with public-company clients
- Experience remediating a material weakness or executing a first-time or expanded SOX scope
- Integration experience — bringing acquired entities onto a common ledger, calendar, and control framework
- Familiarity with California managed-care regulation and restricted-license entity reporting
- ERP implementation or replacement experience; Master's degree a plus
Environmental Job Requirements and Working Conditions
- This position is in office with the option to be hybrid. The office is located at 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801.
- The national target pay range for this role is $200,000 to $240,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.