Senior Accountant

Altais; California, Northern (MO, KY); Hybrid; USD 91,000 - 136,000; Full time

Job summary

Altais is seeking an experienced accounting professional for a remote California role focused on month-end close, reconciliations, and reporting. You will own journal entries, accruals, and analyses to explain trends and discrepancies.

The position requires strong US GAAP knowledge, advanced Excel skills, and collaboration with cross-functional partners. CPA/CMA preferred; ERP experience and regulatory reporting are advantageous.

Qualifications

• Requires a bachelor’s degree or High School Diploma/GED with 4 years of relevant experience in lieu of a degree.
• Requires 5 years of prior relevant accounting experience.
• Requires proficiency in US GAAP and applying guidance to journal entries, reconciliations, and reports.
• Requires strong analytical and problem-solving skills.
• Ability to work through ambiguity and translate changes into procedures.
• Strong written and verbal communication skills across organization.
• High proficiency in Microsoft Excel.
• Regulatory reporting experience preferred.
• CPA, CMA or related certification preferred.
• ERP experience preferred.

Responsibilities

• Own journal entries, accruals, reconciliations, and month-end close supporting schedules.
• Ensure balances are supported with documentation and items are researched and resolved.
• Prepare close-related reports and analyses explaining activity, trends, and discrepancies.
• Prepare internal reporting packages, monthly results analyses, regulatory filings, and schedules.
• Perform trend and fluctuation analyses using business judgment and materiality.
• Research discrepancies and propose correcting entries; recommend improvements.
• Provide auditors with schedules and responses for audits and maintain control documentation.
• Maintain reconciliations and desk-level procedures consistent with internal controls.
• Collaborate with IT and other departments to resolve data integrity issues.
• Support strategic projects, new products, and system implementations with accounting requirements.
• Work with accounting teammates and business partners to resolve account-related matters.

Skills

Analytical problem-solving

Communication skills

Ambiguity handling

Microsoft Excel proficiency

Education

Bachelor’s degree or equivalent

CPA / CMA or related certification preferred

Tools

Microsoft Excel

ERP experience

Job description

About Altais: At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose-built tools, and a team-based model of care, we help doctors do what they do best: care for people. Altais includes a network of physician-led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system.

About the Role: Are you looking to join a fast-growing, dynamic team? We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.

You will focus on:

• Accounting, Close, and Reconciliations: Own assigned journal entries, accruals, account reconciliations, and supporting schedules for month-end close
• Ensure account balances are supported by appropriate documentation, and reconciling items are researched and resolved timely
• Prepare close-related reports and analyses to explain account activity, trends, fluctuations, and discrepancies
• Reporting, Analysis, and Research: Prepare internal reporting packages, monthly results analyses, regulatory filings, and supporting schedules, ensuring deliverables are accurate, complete, and appropriately documented
• Perform trend and fluctuation analyses using business judgment, materiality considerations, and account-specific knowledge
• Research discrepancies and complex accounting issues, prepare correcting entries when appropriate, and recommend improvements to strengthen accuracy and efficiency
• Controls, Audit Support, and Process Improvement: Provide auditors with schedules, supporting documentation, and responses for year-end, business-specific, and account-specific audit requests
• Maintain reconciliations, desk‑level procedures, and process documentation in accordance with internal control expectations, knowledge transfer needs, and audit readiness standards
• Partner with internal departments and IT to resolve system interface and data integrity issues, support root‑cause analysis, and implement sustainable process improvements
• Business Partnership and Project Support: Keep management informed of potential issues, risks, opportunities, and recommended actions
• Support strategic projects, new products, system implementations, and process changes by helping define accounting and reporting requirements
• Collaborate with accounting team members and business partners to resolve account‑related matters and support accurate financial reporting

The Skills, Experience & Education You Bring:

• Requires a bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 5 years of prior relevant experience in an accounting specialization either tax, accounting and/or financial analytics
• Requires proficiency in US GAAP and experience applying accounting guidance to journal entries, reconciliations, fluctuation analyses, accruals, and financial reporting deliverables
• Requires strong analytical and problem‑solving skills, with the ability to independently identify, analyze, and resolve complex accounting issues
• Requires the ability to work effectively through ambiguity, learn new concepts quickly, and translate process and system changes into desk‑level procedures and consistent execution
• Requires strong written and verbal communication skills, with the ability to articulate accounting matters to various levels and business departments across the organization
• Requires being highly proficient in Microsoft Excel
• Experience with regulatory reporting preferred
• Certified Public Accountant, Certified Management Accountant, or other related certification preferred
• ERP experience preferred

This role is Remote - California with preference to the Bay Area and Southern California.

Pay Range for California: $90,860 to $136,290

Pay Range for Bay Area: $102,424 to $153,636

You Share Our Mission & Values:

Compassion

We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.

Community

We foster a culture of collaboration--with physicians, patients across the healthcare ecosystem, and among our teams. By building strong, trusted relationships, we create a unified community focused on advancing patient care and physician well‑being.

Leadership

We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change and shape the future of care.

Excellence

We are relentlessly focused, results‑driven, and accountable for delivering measurable value to physicians and the patients.

Agility

We embrace change as a constant and respond swiftly to the evolving needs of the healthcare industry. With flexibility and forward‑thinking, we adapt, innovate, and act decisively to keep physicians at the forefront.

Altais values the contribution each Team Member brings to our organization.

Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance.

All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity or disability status and any other classification protected by Federal, State and local laws.

If you’re a big thinker, bold innovator, and fiercely motivated to drive change, consider joining our team. We are dedicated to creating exceptional healthcare experiences by building tools that cultivate the health and well‑being of physicians, patients, and the clinical community.