Accounting Manager

Astrana Health • Alhambra, CA

11d • $135,000 - $160,000 • Remote

About The Position

About the Role We are seeking an Accounting Manager who thrives on solving complex financial problems, building automated solutions, and understanding business mechanics end-to-end. You will own the most critical accounting processes in our business, correcting legacy gaps, and designing workflows that drive accuracy and efficiency. This role offers significant exposure to actuarial finance, public company reporting, and the fast-growing world of value-based healthcare. Success in this role will create opportunities for broader accounting leadership and expanded responsibility across the finance organization. You will report to the VP, Chief Actuary. This position is open for remote work. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team

Requirements

• Bachelor’s degree in accounting, finance, or related field.
• 5+ years of progressive accounting experience, preferably in healthcare or multi-entity environments.
• Strong knowledge of GAAP and financial reporting.
• Proficiency in accounting systems (Sage, Oracle, or similar).
• Advanced Excel skills with demonstrated experience building automated accounting solutions (e.g., Power Query, macros, structured models).
• Strong analytical mindset and desire to understand business mechanics holistically.
• Comfortable working on a small team in a fast-paced environment.
• Champion of independent critical thinking, unafraid to challenge the status quo and explore innovative solutions.

Nice To Haves

• Experience working with actuaries and insurance or insurance-like products.
• Deep healthcare expertise across multiple LOBs, ideally including ACO programs.
• SQL or other database coding experience.
• Experience working at public companies.
• Experience preparing controls documentation for estimates.
• Experience with the California healthcare market.

Responsibilities

• Own & Automate: Take full ownership of actuarial accounting entries, including monthly close processes, reconciliations, and IBNR rollforwards. Build automated workflows and models to ensure accuracy, consistency, and scalability.
• Monthly Close & Controls: Partner with Accounting to ensure actuarial results are accurately reflected in the general ledger each close. Design, implement, and document controls, reconciliations, and supporting schedules for complex actuarial balances.
• Financial Reporting & Compliance: Support SEC reporting, audits, and regulatory filings through detailed analysis, rollforwards, and written commentary explaining actuarial impacts. Serve as the primary point of contact for external auditors regarding reconciliations and IBNR rollforwards; manage the end-to-end audit process for IBNR reserves and coordinate the resolution of follow-up items between the actuarial and finance teams.
• Actuarial Partnership & Business Insight: Work closely with the Actuarial team to understand assumptions, methodologies, and underlying business mechanics, developing into a subject matter expert in value-based care.
• Problem Solving & Process Improvement: Identify gaps in existing processes, propose solutions, and implement improvements that reduce manual work, improve accuracy, and scale with the business.
• Cross-Functional Collaboration: Collaborate with Accounting, Finance, Actuarial, Analytics, and Operations on ad hoc analyses and strategic initiatives in a fast-growing environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager