Senior Accountant

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 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.

• Accounting, Close, and Reconciliations:
  Own assigned journal entries, accruals, account reconciliations, and supporting schedules for month-end close
• Ensure account balances are supported by appropriate documentation, and reconciling items are researched and resolved timely
• Prepare close-related reports and analyses to explain account activity, trends, fluctuations, and discrepancies
• Reporting, Analysis, and Research:
  Prepare internal reporting packages, monthly results analyses, regulatory filings, and supporting schedules, ensuring deliverables are accurate, complete, and appropriately documented
• Perform trend and fluctuation analyses using business judgment, materiality considerations, and account-specific knowledge
• Research discrepancies and complex accounting issues, prepare correcting entries when appropriate, and recommend improvements to strengthen accuracy and efficiency
• Controls, Audit Support, and Process Improvement:
  Provide auditors with schedules, supporting documentation, and responses for year-end, business-specific, and account-specific audit requests
• Maintain reconciliations, desk‑level procedures, and process documentation in accordance with internal control expectations, knowledge transfer needs, and audit readiness standards
• Partner with internal departments and IT to resolve system interface and data integrity issues, support root‑cause analysis, and implement sustainable process improvements
• Business Partnership and Project Support:
  Keep management informed of potential issues, risks, opportunities, and recommended actions
• Support strategic projects, new products, system implementations, and process changes by helping define accounting and reporting requirements
• Collaborate with accounting team members and business partners to resolve account‑related matters and support accurate financial reporting

• Requires a bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 5 years of prior relevant experience in an accounting specialization either tax, accounting and/or financial analytics
• Requires proficiency in US GAAP and experience applying accounting guidance to journal entries, reconciliations, fluctuation analyses, accruals, and financial reporting deliverables
• Requires strong analytical and problem‑solving skills, with the ability to independently identify, analyze, and resolve complex accounting issues
• Requires the ability to work effectively through ambiguity, learn new concepts quickly, and translate process and system changes into desk‑level procedures and consistent execution
• Requires strong written and verbal communication skills, with the ability to articulate accounting matters to various levels and business departments across the organization
• Requires being highly proficient in Microsoft Excel
• Experience with regulatory reporting preferred
• Certified Public Accountant, Certified Management Accountant, or other related certification preferred
• ERP experience preferred

This role is Remote - California with preference to the Bay Area and Southern California.

Pay Range for California: $90,860 to $136,290

Pay Range for Bay Area: $102,424 to…