Senior Accountant - Technical Accounting

Senior Accountant - Technical Accounting

Department: Accounting

Employment Type: Full Time

Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801

Compensation: $100,000 - $120,000 / year

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…