Director – Accounting, Care Delivery

Astrana Health

. Lead the end-to-end accounting function for Astrana Health's Care Delivery segment .

Posted 9/19/2026full-timeAlhambra • California • United StatesLead💰 $160,000 - $200,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading end-to-end accounting functions, including general ledger management, revenue recognition under ASC 606, and SOX 404 internal controls. Proven ability to drive close acceleration, standardization, and integration of accounting processes across multi-entity healthcare operations.

Highest-signal resume keywords

CPA10+ Years Progressive Accounting ExperienceDeep Knowledge of US GAAPLeadership in Multi-Entity Accounting OperationsExperience in Healthcare Environment

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

General Ledger ManagementRevenue RecognitionASC 606SOX 404 Internal ControlsIntercompany AccountingFinancial Close ProcessesVariance AnalysisFinancial Statement PreparationLease Portfolio AccountingERP Implementations

Soft Skills

Strong Leadership PresenceClear Communication with ExecutivesTeam DevelopmentCross-Functional Alignment

Certifications & Qualifications

CPAMaster's Degree (Preferred)

Industry Keywords

Healthcare EnvironmentCalifornia Managed-Care RegulationsProvider Fee ProgramsMedicare ReportingMedi-Cal Cost ReportingBig Four Audit BackgroundIntercompany Pricing SupportConsolidation ConclusionsInternal Audit CoordinationClose Improvement Initiatives

Tech Stack

Tools & technologies

ERP

About the role

Key responsibilities & impact

Lead the end-to-end accounting function for Astrana Health's Care Delivery segment
Own the general ledger, chart of accounts, monthly close, balance sheet substantiation, and period-end reporting
Oversee revenue recognition for clinics and ancillary operations under ASC 606
Own intercompany and intersegment accounting, including pricing support, recording, and consolidation eliminations
Lead hospital accounting for Foothill Regional Medical Center, including receivables, allowances, inventory, capital projects, fixed assets, and provider fee programs
Support consolidation, variable interest, primary beneficiary, goodwill, and long-lived asset impairment conclusions
Own lease portfolio accounting under ASC 842
Lead and develop the Care Delivery accounting team
Design and maintain SOX 404 internal controls and oversee remediation
Drive close acceleration and standardization across Care Delivery entities
Lead accounting integration for newly acquired clinics and ancillary service lines
Partner with Revenue Cycle to reconcile billing, collections, adjustments, patient accounts receivable, and the general ledger
Prepare and review segment financial statements, variance analysis, and executive commentary
Coordinate external audit, internal audit, and regulatory relationships
Drive automation and efficiency opportunities across the segment

Requirements

What you’ll need

Bachelor's degree in Accounting, Finance, or a related field
CPA
10+ years of progressive accounting experience, including leadership of multi-entity or multi-site accounting operations
Deep knowledge of US GAAP, including ASC 606 and financial close processes
Experience in a healthcare environment, including owned clinics, ambulatory care, ancillary services, or comparable provider-side operations
Proven ownership of SOX 404 internal controls in a public company setting, including design, documentation, testing, and remediation
Track record of leading close improvement initiatives and building standardized accounting processes across multiple entities
Strong leadership presence and ability to develop teams, communicate clearly with executives, and drive cross-functional alignment
Demonstrated ownership of intercompany and intersegment accounting in a multi-entity group, including elimination processes and intercompany pricing support
Big Four or national firm audit background with healthcare or public-company clients preferred
Experience integrating acquired entities onto a common ledger, policy set, and control framework preferred
Familiarity with California managed-care or clinic regulations and related reporting requirements preferred
Experience with ERP implementations or system migrations preferred
Master's degree a plus
Familiarity with California hospital programs and reporting, including provider fee or quality assurance fee programs and Medicare and Medi-Cal cost reporting preferred
Experience supporting variable interest entity consolidation conclusions in a provider organization preferred

Benefits

Comp & perks

Hybrid work option
Equal Employment Opportunity and Affirmative Action employer
Reasonable accommodation available for applicants with disabilities