[Remote] Senior Accountant at Alto Pharmacy

Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s degree in Accounting, Finance, or related field (CPA or CMA preferred)
4–6+ years of progressive accounting experience; healthcare or hospice industry strongly preferred
Strong knowledge of GAAP; familiarity with healthcare revenue recognition and cost reporting
Experience with healthcare accounting systems, ERP, or revenue cycle platforms
Strong Excel and financial modeling skills
Excellent organizational skills, attention to detail, and ability to manage multiple priorities
Strong communication skills with the ability to partner effectively with finance and non-finance stakeholders

Responsibilities

Prepare and review monthly, quarterly, and annual financial statements for the hospice division
Perform detailed account reconciliations, journal entries, and month-end close activities
Ensure compliance with GAAP, healthcare regulations, and hospice-specific reporting requirements (including Medicare/Medicaid cost reporting, if applicable)
Support budgeting and forecasting processes in partnership with operational leaders
Monitor accounts receivable, payables, and revenue cycle accounting, ensuring accurate recognition of hospice revenues and costs
Partner with auditors and external consultants during annual audits and compliance reviews
Analyze trends in expenses, reimbursements, and operational performance to provide actionable insights
Mentor junior team members and contribute to continuous process improvement across the finance function
Assist with systems implementations or enhancements, particularly in healthcare accounting or ERP tools

Skills

Alto Pharmacy

Digital pharmacy offering same-day medication delivery

About Alto Pharmacy

Alto Pharmacy operates as a digital pharmacy that delivers medications directly to customers' homes on the same day. This service is designed for individuals who may not have the time to visit a traditional pharmacy. Customers can use the Alto app to consult with pharmacists about their medications, addressing any concerns they may have regarding side effects or other issues. Additionally, Alto Pharmacy helps customers save money by actively searching for coupons and discounts to provide medications at lower prices. Unlike many traditional pharmacies, Alto focuses on convenience and customer care, making it easier for people to manage their prescriptions. The company's goal is to enhance the pharmacy experience by combining fast delivery, accessible pharmacist support, and cost-saving options.

San Francisco, CaliforniaHeadquarters

2015Year Founded

$664.4MTotal Funding

CONVERTIBLECompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

Generous time off

Comprehensive medical, dental, & vision plans

401k

Life & disability insurance

Parental leave

Equity

Risks

Amazon Pharmacy's expansion could increase competition for Alto.

The recent funding round at a lower valuation indicates a tough fundraising environment.

Contamination at Novo Nordisk's factory may disrupt Alto's diabetes medication supply.

Differentiation

Alto offers same-day delivery, enhancing convenience for busy individuals.

The company provides pharmacist consultations via an app, improving customer care.

Alto actively searches for cost-saving options, reducing medication expenses for customers.

Upsides

Alto's partnership with Cuban's Cost Plus expands access to medications.

The integration of telehealth services complements Alto's digital pharmacy model.

AI-powered medication management can enhance Alto's service offerings.

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