Manager, Accounting

About Altais:

At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We help physicians focus more on patient care and less on paperwork through smarter technology, purpose-built tools, and a team-based model of care.

Our network includes Brown & Toland Physicians, Altais Medical Group, and Family Care Specialists. Together, we’re building a more connected, physician-first 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.

The Accounting Manager oversees the accounting function for AHS and is responsible for the monthly close process, financial reporting, general ledger integrity, and financial compliance for all company entities. This position serves as a key accounting leader, exercising independent judgment in complex accounting matters, driving process improvements, strengthening internal controls, and providing financial insights to support organizational decision-making. The Accounting Manager reports directly to the Director, Accounting and partners closely with finance and operational leaders across the organization.

You will focus on:

• Oversees all aspects of the financial accounting process including general ledger maintenance, journal entry review, monthly close, balance sheet reconciliations, financial reporting, and budget variance analysis for all AHS entities.

• Responsible for the structure, hierarchy, and scalability of the chart of accounts and the accuracy of the general ledger and financial statements; serves as the final authority regarding the classification and recording of financial transactions.

• Owns and leads the monthly, quarterly, and annual close process, establishing timelines, identifying issues, and ensuring accurate and timely financial reporting.

• Reviews and analyzes complex accounting transactions and independently determines appropriate accounting treatment in accordance with GAAP.

• Participates in the ongoing development, implementation, and maintenance of accounting policies, procedures, internal controls, and operational strategies.

• Identifies opportunities to streamline accounting processes, improve efficiency, and enhance the scalability of financial operations through automation and continuous improvement initiatives.

• Assists in coordinating and administering the annual budgeting and forecasting process.

• Evaluates accounting risks and develops recommendations to mitigate risk while ensuring compliance with company policies, regulatory requirements, and accounting standards.

• Establishes, maintains, and monitors internal controls and accounting procedures designed to safeguard company assets, ensure financial accuracy, and prevent fraud.

• Serves as the primary liaison for external auditors, coordinating audit activities, responding to requests, and resolving audit findings.

• Partners with operational and executive leadership to provide meaningful financial analysis, identify trends, and support strategic business decision-making.

• Evaluates accounting implications of new business initiatives, contracts, organizational changes, and strategic projects and makes recommendations to leadership regarding financial and operational impact.

• Develops and monitors accounting performance metrics and key financial indicators to support departmental and organizational goals.

• Leads special projects related to financial systems, reporting enhancements, process transformation, organizational growth initiatives, and finance-related implementations.

• Provides day-to-day leadership and direction to accounting staff, establishing priorities, assigning work, and ensuring achievement of departmental objectives.

• Supervises, coaches, mentors, and develops accounting team members; conducts performance evaluations and supports employee development and succession planning efforts.

• Promotes a culture of accountability, collaboration, continuous improvement, and customer service within the accounting function.

• Recommends staffing, organizational, and process improvements to support business growth and operational effectiveness.

• Acts as a trusted advisor to Finance leadership regarding accounting operations, financial reporting, compliance, internal controls, and risk management matters.

• Makes recommendations for changes as needed and ensures company policies and procedures are followed.

• Performs other duties as assigned.

The Skills, Experience & Education You Bring

• Bachelor’s degree or equivalent in Accounting, Finance or related field of study

• 7+ years professional experience working in Accounting role, requiring use and knowledge of Generally Accepted Accounting Principles (GAAP)

• Demonstrated growth and success in comparable role

• Management experience strongly preferred

The Base Salary for this position is $107,250 - $128,700/year

In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

• Excellent medical, vision, and dental coverage

• 401k savings plan with a company match

• Flexible time off and 9 Paid Holidays

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.

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.

Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.