Controller - Care Partners

About the role

Astrana Health is a physician-centric, technology-powered healthcare company enabling providers to deliver high-quality, value-based care. We partner with thousands of physicians across the country through our risk-bearing Care Partners segment, the largest and most complex part of our accounting organization, where capitation revenue, claims liability, and risk-pool settlements come together. This is a high-visibility role at the intersection of technical accounting, operational controllership, and public-company compliance. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team

Responsibilities

• Own the Care Partners general ledger, close calendar, and period-end reporting — delivering financial statements, flux analysis, and balance-sheet substantiation to the CFO and CAO each period.
• Drive close acceleration and standardization across all segment entities, reducing cycle time and eliminating recurring out-of-period adjustments.
• Design, document, and operate SOX 404 controls for the segment — revenue, capitation, claims, IBNR, risk-pool settlements, and related IT-dependent controls — and lead remediation where deficiencies exist.
• Own the accounting for complex revenue arrangements, including professional and institutional capitation, shared-risk settlements, and quality-based payments.
• Partner with Actuarial and Medical Economics on claims liability and incurred-but-not-reported (IBNR) estimates — understanding the model, challenging inputs, and owning the accounting conclusion.
• Lead integration of acquired physician groups and IPAs onto the company's policies, chart of accounts, close calendar, and control framework.
• Identify and reduce manual effort across the segment — reconciliations, journal entries, spreadsheets — and act as the accounting owner for automation and ERP initiatives.
• Coordinate with the external auditor, internal audit, and regulatory examiners as the segment's primary accounting contact.
• Lead and develop the segment accounting team across multiple offices, building bench strength and eliminating single points of failure.

Qualifications

Required Qualifications:

• Bachelor's degree in Accounting, Finance, or a related field; CPA required
• 10+ years of progressive accounting experience, including 3+ years leading a multi-entity accounting or controllership function
• Deep, current knowledge of US GAAP and SEC registrant reporting requirements
• Demonstrated hands-on ownership of SOX 404 — designing and documenting controls, remediating deficiencies, and supporting external audit testing — in a public company setting
• Healthcare experience in a risk-bearing or capitated environment (managed care, IPA, medical group, health plan, or comparable value-based care organization) with direct exposure to capitation revenue, claims expense, and IBNR estimates
• Proven track record of close