Senior Accountant - Technical Accounting

Astrana Health is a fast-growing, publicly traded healthcare company operating across three segments: Care Partners, Care Delivery, and Care Enablement. Our rapid growth — driven by organic expansion and an active acquisition strategy — means the accounting judgments that shape our financial statements are complex, high-stakes, and increasing in volume.

We are looking for a Senior Accountant to join our Technical Accounting team and support the research, documentation, and application of US GAAP across the company. You will play a hands-on role in preparing technical memos, supporting acquisition accounting, maintaining policy documentation, and ensuring our internal control environment keeps pace with our growth. This is a great opportunity for someone who wants to deepen their technical accounting expertise in a highly visible, intellectually challenging environment.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

Technical Accounting Research & Policy

• Research and draft technical accounting memoranda on complex, non-routine, and first-instance transactions, applying relevant US GAAP guidance and documenting facts, alternatives considered, and conclusions reached.
• Help maintain the company's accounting policy manual, assist with monitoring new FASB and SEC pronouncements, and support assessment of their applicability to Astrana's operations.

Business Combinations & Consolidation

• Support acquisition accounting under ASC 805 — assisting with purchase price allocations, opening balance sheets, contingent consideration, and measurement-period adjustment schedules — and help coordinate with third-party valuation specialists.
• Assist with consolidation analysis for entities affiliated through management services agreements, including variable interest entity assessments and non-controlling interest documentation.

Checklists, Frameworks & Documentation

• Maintain and update the company's technical accounting checklists — acquisition, revenue, quarterly reporting, and significant transaction checklists — ensuring they stay current with policy and guidance changes.
• Prepare and organize supporting documentation for accounting positions to ensure they meet the evidence standard for external audit and regulatory review.

SOX & Internal Controls

• Support the design and documentation of internal controls over technical and judgmental areas of the financial statements, and assist with evidence preparation for SOX 404 testing.
• Help onboard newly acquired entities into the company's control framework, assisting with walkthroughs, narratives, and readiness documentation.

External Reporting & Audit Support

• Assist with the preparation and review of technical disclosures in Forms 10-K and 10-Q, including footnotes and MD&A sections covering judgmental areas and significant transactions.
• Support the external audit process by preparing organized, well-documented support packages for positions and estimates reviewed as critical audit matters.

Cross-Functional Collaboration

• Partner with Controllership, SEC Reporting, FP&A, and Legal to gather the inputs needed for technical positions and ensure accounting conclusions are communicated clearly across the organization.
• Participate in training and knowledge-sharing efforts to help build technical accounting awareness across the broader finance team.

• Bachelor's degree in Accounting, Finance, or a related field; CPA required or actively in progress
• 3+ years of accounting experience, including public accounting experience with an emphasis on technical accounting or auditing SEC registrants
• Working knowledge of US GAAP, including business combinations (ASC 805), consolidation (ASC 810), and revenue recognition (ASC 606)
• Experience preparing or assisting with technical accounting memoranda and supporting documentation
• Strong research and writing skills — ability to synthesize complex guidance into clear, well-supported conclusions
• Detail-oriented with the ability to manage multiple deliverables and meet deadlines in a fast-paced environment

Preferred

• Big Four or national firm audit background with public-company or healthcare clients
• Exposure to acquisition accounting, purchase price allocations, or valuation concepts
• Healthcare industry experience — managed care, provider groups, or value-based care organizations
• Familiarity with SOX 404 documentation and internal control frameworks

• 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 total compensation target pay range for this role is: $100,000 to $120,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.