Jobs at Astrana Health, Inc.

Performs monthly bank and general ledger reconciliations, researches discrepancies, prepares journal entries, supports year-end 1099 preparation, handles client billings, and maintains fixed asset and depreciation records. The role also provides accounting analysis to management and requires proficiency with Excel, MAS-200, FAS Best, and Microsoft Office.

The Senior Accountant maintains accurate books under U.S. GAAP, prepares journal entries, reconciliations, financial statements, management reports, and regulatory filings. The role oversees close processes, revenue and expense recording, cash accounting, flux analysis, audit preparation, and internal control compliance. It also supports external auditors, health plans, and management with timely financial information and ad hoc accounting tasks.

Manages daily accounting operations, leads accountants, reviews healthcare-related journal entries and IBNR analysis, oversees general ledger reconciliations and month-end and year-end close, ensures SOX and U.S. GAAP compliance, supports SEC reporting and audits, and improves financial systems and processes.

Own actuarial contract modeling for Medicare Advantage, Medicaid, and Commercial payer agreements. Build financial models, dashboards, and reporting infrastructure; analyze contract performance and financial impacts; support payer negotiations; monitor reimbursement, legislation, market, and risk-adjustment trends; and provide cross-functional insights across finance, analytics, contracting, and operations.

Own full-cycle recruiting for corporate and clinical roles, including difficult and mission-critical searches. Partner strategically with hiring managers, build talent pipelines, close candidates, mentor recruiters, and improve recruiting processes. Monitor recruiting metrics, maintain data and process quality, support structured interviews, and promote consistent, equitable candidate experiences while contributing to team standards and leadership.

Supports technical accounting research, US GAAP memoranda, acquisition accounting, consolidation analyses, accounting policies, SOX controls, SEC disclosures, and external audit support. The role collaborates with Controllership, SEC Reporting, FP&A, and Legal while documenting complex accounting conclusions and assisting with newly acquired entities.

Own architecture and technical direction for healthcare product systems. Build full-stack features from data models and APIs through React interfaces, design resilient integrations, manage migrations, operate reliable production systems, and implement authorization, audit trails, and PHI minimization. Analyze healthcare data with SQL, build trusted reporting, handle incidents, collaborate with clinical and operations stakeholders, and mentor engineers.

Build and guide full-stack systems supporting healthcare eligibility, claims, authorizations, clinical data, integrations, and analytics. Own technical architecture, data modeling, infrastructure, migrations, reliability, standards, and technical debt across a domain. Develop core systems, improve engineering practices, mentor senior engineers, and lead technical hiring and decision-making. The role requires hands-on software development with TypeScript, SQL, React, Docker, public cloud infrastructure, and AI development tools.

Leads technical accounting and SEC reporting for complex transactions, acquisitions, consolidations, valuations, and financial statement judgments. Owns US GAAP policies, ASC 805 purchase accounting, VIE analyses, SOX 404 controls, technical accounting memos, audit support, and 10-K, 10-Q, and 8-K reporting. Advises executives and transaction teams, coordinates with auditors and valuation specialists, and develops accounting checklists, review frameworks, and finance team capabilities.

Manages enterprise-wide indirect tax compliance and administration, including multistate sales and use tax, property tax, franchise taxes, business licenses, unclaimed property, 1099/W-9 reporting, notices, audits, and tax calendars. Reconciles tax accounts to the general ledger, coordinates reserves and payments, supports process automation, and maintains documentation across entities and jurisdictions.

Supports corporate income tax accounting and compliance for a consolidated group of more than 60 entities. Responsibilities include quarterly and annual tax provisions, federal and state returns, tax reconciliations, apportionment data, estimated payments, SOX documentation, entity filing matrices, and tax record retention. The role also drives automation and process improvements and requires collaboration with Treasury, Finance, auditors, and tax authorities.

Leads corporate development analytics for healthcare acquisitions and partnerships, including valuation, financial modeling, due diligence, deal execution support, investment committee and board materials, and post-close integration. Owns pipeline reporting, market landscaping, integration workplans, synergy tracking, and cross-functional coordination. Requires advanced Excel modeling, healthcare services or value-based care knowledge, strong executive communication, and 25% travel.

Processes high-volume capitation, bonus, special handling, and deposit pay files; performs bank reconciliations, journal entries, financial reporting, and discrepancy resolution. Provides backup accounts payable support, maintains documentation and internal controls, and contributes to workflow improvements and automation. The role requires accuracy with large dollar amounts and consistent execution of repetitive accounting processes.

The Senior Accountant prepares journal entries, reconciliations, financial statements, management reports, budgets, forecasts, and regulatory filings. The role oversees cash deposits, revenue and expense accounting, month-end and year-end close, internal controls, compliance, and audit coordination. This hybrid position requires knowledge of U.S. GAAP, managed care accounting, technical accounting research, complex spreadsheets, and financial analysis.

Responsible for building data models, developing ELT pipelines, implementing data quality checks, and utilizing best practices in data engineering and healthcare analytics.

Lead and mentor a team of data engineers to design, implement, and maintain scalable data pipelines, ensuring data quality and compliance with healthcare regulations.

The Manager of Advanced Analytics will lead the design and implementation of data solutions, mentor team members, and collaborate with stakeholders to drive analytics strategy and improvements in patient outcomes.

The Sr. Internal Auditor oversees SOX compliance, conducts audits, evaluates internal controls, collaborates with stakeholders, and communicates findings to support business objectives.

Own full-cycle recruiting for corporate and clinical roles across multiple sites. Partner with hiring leaders to design strategies, source and maintain talent pipelines, ensure equitable compliant processes, manage ATS data, facilitate interviews and offers, and promote Astrana Health's mission and culture.