Director - Accounting (Care Delivery)

Director of Accounting

Astrana Health is seeking a Director of Accounting to lead the financial reporting and accounting operations for its Care Delivery segment — our primary and specialty care clinics, post-acute and inpatient services, ancillary providers including urgent care centers, outpatient imaging, ambulatory surgery centers, laboratories and a specialty pharmacy, and Foothill Regional Medical Center, our wholly owned acute care hospital.

This is a senior leadership role responsible for the integrity of the segment's general ledger, close process, internal controls, and financial reporting in a fast-growing, publicly traded healthcare company. Roughly half of the segment’s revenue is earned from other Astrana segments rather than from third parties, so intercompany accounting and elimination are central rather than peripheral. The hospital is its own goodwill reporting unit and joined the company through the Prospect acquisition in July 2025, which means its integration, and its entry into the company’s internal control assessment are all live work. This role is the accounting owner of all of it.

You will report directly to the SVP - Accounting and serve as the primary accounting leader for the Care Delivery segment, partnering closely with the CFO, FP&A, Revenue Cycle, operations leadership, and external auditors. This role requires someone who can operate at a strategic level while staying close enough to the work to identify risk, build scalable process, and develop a high-performing accounting team. You will also work directly with Technical Accounting on consolidation and valuation questions, with the Care Partners and Care Enablement accounting teams on intercompany arrangements, and with Internal Audit on control design.