Build the MSO for California
healthcare practices.
We are a tight, deeply-specialized team building the leading accounting MSO for California nurse practitioners and PT, OT, and SLP practices. If you want to do real, defensible, healthcare-specialty work — not generalist tax-return mills — let’s talk.
What working here actually looks like.
No promises about “family culture” or ping-pong tables. Here is the real version.
Healthcare specialty, not generalist
Every client is a CA healthcare practice. You will become a true specialist in NP, PT, OT, or SLP entity structure, payer dynamics, and compliance — not a jack-of-all-trades who knows a little about everything.
Partner-led, equity-free
A senior CPA partner reviews every client engagement. We have never taken outside equity and we never will — which means we make decisions for our team and clients, not for an investor exit.
Real ownership, not busywork
You will own client relationships from day one, with the partner’s backing. No grinding through low-margin compliance work that no one wants. Each engagement is a real, multi-year partnership.
What we offer.
We are hiring for these roles.
All roles are California-based (remote-first, Pleasanton office optional). Healthcare experience is a plus, not required — we will teach you the specialty.
Senior CPA — Healthcare MSO
Own a portfolio of 15-25 healthcare practice clients. Lead tax planning, entity structuring, and quarterly reviews. CPA license required. 4+ years public accounting experience preferred; healthcare specialty a plus.
Staff Accountant — Healthcare
Handle bookkeeping, payroll reconciliation, and month-end close for a portfolio of healthcare practices. Bachelor’s in accounting required. CPA candidates encouraged. We will pay for your exam prep and time off to test.
Tax Manager — Healthcare Specialty
Lead tax strategy, S-corp planning, and entity restructuring for CA healthcare practice clients. CPA required. 6+ years tax experience including S-corp and professional corporation work.
Senior Bookkeeper — Healthcare
Run day-to-day bookkeeping for 10-15 healthcare practices in QBO. Reconcile bank, credit card, payroll, and merchant accounts. AR follow-up. 3+ years bookkeeping experience required. Healthcare RCM experience a plus.
Don’t see your role?
We are always interested in talented people who care about healthcare specialty accounting. If your background fits the mission, send us a note and tell us what you’d build here.
What to expect.
We move fast. Most candidates go from first conversation to offer in under 3 weeks.
Apply Now
Email us your resume and a short note on why this role. No cover-letter essay required.
30-min intro
A short video call with the hiring partner. We learn about you; you learn about the role.
Working session
A 60-90 minute paid case study or technical conversation tailored to the role.
Offer
If both sides are excited, we extend an offer within 1 week of the working session.
Ready to build something specialized?
If our mission resonates, we want to hear from you. Even if your role isn’t listed above — the right person makes a role.
[email protected]Want the partner-led second opinion — for free?
A 30-min call with a senior CPA partner. No pitch, no obligation. You leave with 1–2 specific tax moves your current CPA may have missed.
Book My Free Call →