Manager, Accounting

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 Entity Reporting

• Lead accounting and financial reporting activities for subsidiary and affiliated entities, including month-end close, entity-level accounting, consolidation support, and related analysis
• Review and approve journal entries and balance sheet reconciliations for timeliness, accuracy, completeness, and quality of supporting documentation
• Oversee intercompany accounting, shared service fee activity, related party balances, and other transactions across affiliated entities
• Provide oversight of accounts payable activities, including invoice processing, payment controls, vendor-related accounting, accruals, and coordination with business partners to support timely, accurate, and well-controlled payment operations

Reporting, Analysis, and Technical Accounting

• Support financial reporting deliverables, including schedules, analyses, management reporting, audited financial statement support, and other internal or external reporting requests
• Analyze and communicate significant fluctuations, trends, risks, and business drivers impacting financial results and balance sheet accounts
• Serve as a subject matter expert on US GAAP accounting and reporting considerations impacting subsidiary and affiliated entities, including consolidation, intercompany transactions, related party activity, accruals, revenue, expenses, and balance sheet classification

Governance, Controls, Audit Readiness and Process Improvement

• Support internal, external, and regulatory audit activities by preparing and reviewing financial schedules, account analyses, reconciliations, and supporting documentation
• Develop, enhance, and implement accounting policies, procedures, process documentation, and internal controls to support accurate reporting, audit readiness, and scalable operations
• Support system, reporting, and process improvement initiatives, reporting enhancements, automation opportunities, and close process improvements

People Leadership and Business Partnership

• Lead, coach, and develop a team of accountants by setting clear expectations, reviewing work, building technical capability, and fostering accountability, collaboration, and continuous learning
• Respond to requests for guidance and financial information from internal business partners and leadership
• Partner with Finance, Tax, Treasury, Legal, and business partners to evaluate accounting treatment for new or complex transactions, organizational changes, acquisitions, service arrangements, and other business initiatives
• Assist with executive, board, Audit Committee, regulatory, and other ad-hoc reporting deliverables

The Skills, Experience & Education You Bring

• Requires a Bachelor's degree in Accounting, Finance, Economics, or equivalent
• CPA designation or an advanced degree preferred
• Requires at least 7 years of progressive accounting, audit, or financial reporting experience, including 2 years of management experience gained as a team leader, supervisor, or program/project manager
• Requires Healthcare, provider group, medical group, managed care, or multi-entity accounting experience
• Requires comprehensive and current understanding of US GAAP, including the ability to apply accounting guidance to complex transactions and evolving business structures
• Experience with month-end close, balance sheet reconciliations, intercompany accounting, consolidations, financial statement support, and audit documentation
• Possesses outstanding collaboration and oral/written communication skills
• Possesses excellent analytical and problem-solving skills, with strong attention to detail and sound professional judgment
• Able to prioritize work to meet internal and external deadlines in a fast-paced, evolving environment
• Highly proficient in Microsoft Excel
• Oracle, Workday, Great Plains, or similar ERP system experience preferred

Pay

• Remote - California with preference to the Bay Area and Southern California
• Pay Range for California: $111,540.00 to $167,420.00
• Pay Range for Bay Area: $125,736.00 to $188,728.00

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 they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.

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.