Senior Accountant

About Stellar Health: Historically, US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity of patient visits and procedures, rather than the quality of health outcomes. At Stellar Health, we help primary care providers put patient health first. Our platform - a mix of technology, people, and analytics - supports providers at the point of care, delivering real-time patient information, activating practice staff, and empowering providers and care teams with incentives that reward the work they are already doing to keep patients healthy. Using the Stellar App, our web-based, point-of-care tool; practices receive a simple checklist of recommended actions that support the best quality care. Providers and care teams are then paid monthly for each action they complete, and Payors save money in reduced healthcare costs along the way. Stellar is a US-based Health-tech backed by Top VCs (General Atlantic, Point72, & Primary Venture Partners) with an established product & proven operating model. We’ve shown that we make a real difference for physician practices and their patients. About the position: Our Finance team is seeking a Senior Accountant to support our accounting needs during a period of rapid growth. Reporting to our Director of Accounting, this person will split their time across two critical functions: General Accounting and our Financial Operations (FinOps) team, which manages our provider incentive payment program. This is a highly visible, cross-functional role with real ownership you'll help keep our books clean while also playing a key part in one of our most operationally complex and impactful workflows. As Stellar Health scales, there will be significant opportunities for this individual to assume more responsibility and advance their career in a high-growth environment. How you'll make an impact: General Accounting (50%) - Own key month-end close activities including journal entries, accruals, and account reconciliations. - Manage accounts payable and cash reconciliation processes, ensuring accuracy and timeliness. - Maintain internal controls around disbursements, approval workflows, and documentation. - Support annual audits by preparing reconciliations and responding to auditor requests. - Identify opportunities to improve and standardize accounting processes as the business scales. Financial Operations – Provider Incentive Payments (50%) - Support the full-cycle monthly provider incentive payment process, from calculation through disbursement. - Prepare monthly reporting packages and reconciliations for customers and medical groups. - Serve as a go-to resource for internal stakeholders, answering questions and providing guidance on payment-related inquiries. - Help build and maintain payment documentation including schedules, supporting calculations, and audit trails. - Drive automation and standardization across the payment workflow to improve efficiency and reduce manual effort. What You'll Bring: - 3-5 years of relevant accounting experience, with public accounting experience preferred - Bachelor's degree in Accounting, Finance, or Business - Strong understanding of US GAAP and accrual accounting - Experience with NetSuite or a similar ERP (NetSuite strongly preferred) - Experience with Ramp or similar expense management tools and expense coding/classification - Advanced Excel skills (pivot tables, VLOOKUPs, formulas) - Exceptional attention to detail and commitment to accuracy - Strong organizational skills with the ability to manage competing priorities and deadlines - Clear communicator across finance and non-finance audiences Preferred Qualifications - CPA candidate or active CPA license - Experience in a high-growth startup or health tech environment - Familiarity with incentive-based or performance-based payment models - Experience supporting process improvement or automation initiatives - Knowledge of 1099 reporting and vendor tax compliance Per