Senior Accountant

Altais Health Solutions; Oakland (CA); On-site; USD 91,000 - 154,000; Full time

Job summary

Altais Health Solutions is seeking an experienced accounting professional to manage month-end close, reconciliations, and financial reporting. The role emphasizes accuracy, analytical rigor, and collaboration across departments to ensure compliant, timely results.

The ideal candidate has strong Excel skills, experience with ERP systems, and a track record of process improvement. A CPA/CMA is preferred, with California payroll and regulatory reporting experience valued.

Qualifications

• Requires a bachelor’s degree or 4 years of additional experience in lieu of a degree
• Requires 5 years of prior accounting experience in tax, accounting, or analytics
• Proficiency in US GAAP and accurate journal entries, reconciliations, and financial reporting
• Strong written and verbal communication skills and ability to translate processes across departments
• Proficiency in Excel and capability to partner with IT on data integrity and process improvements

Responsibilities

• Own assigned journal entries, accruals, reconciliations, and month-end close tasks
• Prepare internal reporting, monthly results analyses, regulatory filings, and supporting schedules
• Perform trend analyses and explain variances, fluctuations, and discrepancies
• Research discrepancies and complex accounting issues and recommend corrective entries
• Provide auditors with schedules and documentation for year-end and audit requests
• Support process improvements and system implementations with accounting requirements
• Collaborate with cross-functional teams to resolve account-related matters and enable accurate financial reporting

Skills

Analytical thinking

Problem solving

Communication

Ambiguity management

Written and verbal communication

Team collaboration

Attention to detail

Education

Bachelor's degree or equivalent

High School Diploma / GED + 4 years of relevant experience

CPA or CMA 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 RoleAre 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 ReconciliationsOwn assigned journal entries, accruals, account reconciliations, and supporting schedules for month-end closeEnsure account balances are supported by appropriate documentation, and reconciling items are researched and resolved timelyPrepare close-related reports and analyses to explain account activity, trends, fluctuations, and discrepanciesReporting, Analysis, and ResearchPrepare internal reporting packages, monthly results analyses, regulatory filings, and supporting schedules, ensuring deliverables are accurate, complete, and appropriately documentedPerform trend and fluctuation analyses using business judgment, materiality considerations, and account-specific knowledgeResearch discrepancies and complex accounting issues, prepare correcting entries when appropriate, and recommend improvements to strengthen accuracy and efficiencyControls, Audit Support, and Process ImprovementProvide auditors with schedules, supporting documentation, and responses for year-end, business-specific, and account-specific audit requestsMaintain reconciliations, desk-level procedures, and process documentation in accordance with internal control expectations, knowledge transfer needs, and audit readiness standardsPartner with internal departments and IT to resolve system interface and data integrity issues, support root-cause analysis, and implement sustainable process improvementsxBusiness Partnership and Project SupportKeep management informed of potential issues, risks, opportunities, and recommended actionsSupport strategic projects, new products, system implementations, and process changes by helping define accounting and reporting requirementsCollaborate with accounting team members and business partners to resolve account-related matters and support accurate financial reportingThe 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 degreeRequires 5 years of prior relevant experience in an accounting specialization either tax, accounting and/or financial analyticsRequires proficiency in US GAAP and experience applying accounting guidance to journal entries, reconciliations, fluctuation analyses, accruals, and financial reporting deliverablesRequires strong analytical and problem-solving skills, with the ability to independently identify, analyze, and resolve complex accounting issuesRequires the ability to work effectively through ambiguity, learn new concepts quickly, and translate process and system changes into desk-level procedures and consistent executionRequires strong written and verbal communication skills, with the ability to articulate accounting matters to various levels and business departments across the organizationRequires being highly proficient in Microsoft ExcelExperience with regulatory reporting preferredCertified Public Accountant, Certified Management Accountant, or other related certification preferredERP experience preferredPay Range for California: $90,860 to $136,290Pay Range for Bay Area: $102,424 to $153,636You Share Our Mission & Values:CompassionWe 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.CommunityWe 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.LeadershipWe 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.ExcellenceWe are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.AgilityWe 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.The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.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, protected veteran status or disability status and any other classification protected by Federal, State and local laws.