As a Director of Accounting Operations you will lead the business operations finance team and oversee client-facing accounting reporting and key corporate finance functions. This strategic and highly visible role involves significant client and corporate responsibilities requiring regular interaction with clients corporate staff and internal Guidehealth stakeholders.
WHAT YOULL BE DOING
Client Financial Services
- Deliver high-quality financial services to multiple clients in line with contracts.
- Maintain accurate client accounting records and provide timely financial statements and analysis.
- Assist clients with annual budgets and report performance against targets.
- Oversee client-related operations such as claim processing funding 1099s cash management and subrogation recoveries.
- Execute delegated financial transactions in compliance with contractual requirements.
Revenue Billing & Accounts Receivable
- Support client contract development to ensure proper financial service treatment and invoicing requirements.
- Document revenue recognition in compliance with ASC 606.
- Oversee invoicing for Guidehealth services and reimbursable expenses.
- Ensure timely cash posting and follow up on outstanding receivables.
- Collaborate with corporate accounting and escalate issues as needed.
Team Leadership
- Hire train and develop team members; set goals and delegate tasks.
- Provide coaching and ensure backup for key roles.
- Build strong internal and external client relationships.
Internal Controls & Compliance
- Implement and monitor policies and internal controls over assets and financial information.
- Lead audits of Guidehealth and client financial statements.
- Escalate compliance risks as appropriate.
System Management
- Ensure SAGE financial system meets business needs and maintain system integrity.
- Collaborate with IT and Business Operations to integrate financial systems with platforms like Eldorado.
- Identify opportunities to streamline and enhance finance infrastructure.
Qualifications :
WHAT YOULL NEED TO HAVE
- Bachelors degree in Accounting Finance or related field required; CPA strongly preferred.
- 10 years of progressive accounting and reporting experience; public accounting experience a plus (Big 4 or mid-tier firm).
- Deep experience in healthcare finance (payer or health system) including:
- Benefit plan design
- Health plan administrative operations
- Value-based care
- Payer/provider contracting
- Capitation and fee-for-service payment models
- Medical cost reserves (IBNR) and reinsurance
- Risk-sharing arrangements
- Proven ability to manage client-consultant engagements and build strong relationships with client leadership and staff.
- Expertise in monthly financial close reporting revenue management invoicing accounts receivable banking and cash controls.
- Skilled in interpreting client contracts for revenue recognition and service requirements.
- Excellent communication analytical and leadership skills with a collaborative mindset.
- Experience with integrated ERP systems (QuickBooks) and financial reporting tools.
- Advanced proficiency in Microsoft Excel Word and PowerPoint.
- Strong process improvement and systems optimization skills; ability to leverage technology for scale.
WHO YOU ARE
- A values-driven leader who fosters trust collaboration and operational excellence.
- Highly organized and detail-oriented with the ability to meet internal and client expectations for timing and quality of deliverables.
- Proactive problem-solver who addresses issues before they escalate.
- Skilled at building credible collaborative relationships with internal and external stakeholders.
Additional Information :
The base pay range for this role is between $140000.00 to $150000.00 annually
ALIVE with Purpose: How We Thrive at Guidehealth
At Guidehealth our values come to life in everything we do.
- We are Driven by Accountability grounded in transparency reliability and integrity as we navigate challenges and opportunities alike.
- Always Growing Always Learning staying curious and continuously improving inspires us to shape a better future for healthcare.
- With Collaborative Innovation we solve problems creatively making every experience better for our employees and the patients we serve.
- At Guidehealth Every Voice Matters we believe our collective strength is rooted in the unique perspectives of each team member.
- And through Empathy in Action we build stronger connections with those who count on us.
- This is what it means to be ALIVE with purpose. This is how we thrive together at Guidehealth.
BENEFITS:
All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. While you are hard at work advancing value-based healthcare we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:
- Work from Home: Guidehealth is a fully remote company providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
- Keep Health a Priority: We offer comprehensive Medical Dental and Vision plans to keep you covered.
- Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
- Have Peace of Mind: We provide Life and Disability insurance for those just in case moments. Additionally we offer voluntary Life options to keep you and your loved ones protected.
- Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
- Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
- Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
- Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.
COMPENSATION:
The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include but are not limited to: skill set years of relevant experience education location and licensure/certifications.
OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT
Diversity inclusion and belonging are at the core of Guidehealths values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race religious creed color age sex sexual orientation and identity national origin citizenship religion marital status familial status physical sensory or medical disability Family and Medical Leave military or veteran status pregnancy childbirth or other related medical conditions or any other classification protected by federal state and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring placement promotion transfer demotion layoff termination recruitment advertising pay and other forms of compensation training and general treatment during employment.
OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA
This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealths custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles the responsibilities would be further defined by the hiring manager.
REMOTE WORK TECHNICAL REQUIREMENTS
Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.
Remote Work :
Yes
Employment Type :
Full-time
As a Director of Accounting Operations you will lead the business operations finance team and oversee client-facing accounting reporting and key corporate finance functions. This strategic and highly visible role involves significant client and corporate responsibilities requiring regular interactio...
As a Director of Accounting Operations you will lead the business operations finance team and oversee client-facing accounting reporting and key corporate finance functions. This strategic and highly visible role involves significant client and corporate responsibilities requiring regular interaction with clients corporate staff and internal Guidehealth stakeholders.
WHAT YOULL BE DOING
Client Financial Services
- Deliver high-quality financial services to multiple clients in line with contracts.
- Maintain accurate client accounting records and provide timely financial statements and analysis.
- Assist clients with annual budgets and report performance against targets.
- Oversee client-related operations such as claim processing funding 1099s cash management and subrogation recoveries.
- Execute delegated financial transactions in compliance with contractual requirements.
Revenue Billing & Accounts Receivable
- Support client contract development to ensure proper financial service treatment and invoicing requirements.
- Document revenue recognition in compliance with ASC 606.
- Oversee invoicing for Guidehealth services and reimbursable expenses.
- Ensure timely cash posting and follow up on outstanding receivables.
- Collaborate with corporate accounting and escalate issues as needed.
Team Leadership
- Hire train and develop team members; set goals and delegate tasks.
- Provide coaching and ensure backup for key roles.
- Build strong internal and external client relationships.
Internal Controls & Compliance
- Implement and monitor policies and internal controls over assets and financial information.
- Lead audits of Guidehealth and client financial statements.
- Escalate compliance risks as appropriate.
System Management
- Ensure SAGE financial system meets business needs and maintain system integrity.
- Collaborate with IT and Business Operations to integrate financial systems with platforms like Eldorado.
- Identify opportunities to streamline and enhance finance infrastructure.
Qualifications :
WHAT YOULL NEED TO HAVE
- Bachelors degree in Accounting Finance or related field required; CPA strongly preferred.
- 10 years of progressive accounting and reporting experience; public accounting experience a plus (Big 4 or mid-tier firm).
- Deep experience in healthcare finance (payer or health system) including:
- Benefit plan design
- Health plan administrative operations
- Value-based care
- Payer/provider contracting
- Capitation and fee-for-service payment models
- Medical cost reserves (IBNR) and reinsurance
- Risk-sharing arrangements
- Proven ability to manage client-consultant engagements and build strong relationships with client leadership and staff.
- Expertise in monthly financial close reporting revenue management invoicing accounts receivable banking and cash controls.
- Skilled in interpreting client contracts for revenue recognition and service requirements.
- Excellent communication analytical and leadership skills with a collaborative mindset.
- Experience with integrated ERP systems (QuickBooks) and financial reporting tools.
- Advanced proficiency in Microsoft Excel Word and PowerPoint.
- Strong process improvement and systems optimization skills; ability to leverage technology for scale.
WHO YOU ARE
- A values-driven leader who fosters trust collaboration and operational excellence.
- Highly organized and detail-oriented with the ability to meet internal and client expectations for timing and quality of deliverables.
- Proactive problem-solver who addresses issues before they escalate.
- Skilled at building credible collaborative relationships with internal and external stakeholders.
Additional Information :
The base pay range for this role is between $140000.00 to $150000.00 annually
ALIVE with Purpose: How We Thrive at Guidehealth
At Guidehealth our values come to life in everything we do.
- We are Driven by Accountability grounded in transparency reliability and integrity as we navigate challenges and opportunities alike.
- Always Growing Always Learning staying curious and continuously improving inspires us to shape a better future for healthcare.
- With Collaborative Innovation we solve problems creatively making every experience better for our employees and the patients we serve.
- At Guidehealth Every Voice Matters we believe our collective strength is rooted in the unique perspectives of each team member.
- And through Empathy in Action we build stronger connections with those who count on us.
- This is what it means to be ALIVE with purpose. This is how we thrive together at Guidehealth.
BENEFITS:
All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. While you are hard at work advancing value-based healthcare we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:
- Work from Home: Guidehealth is a fully remote company providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
- Keep Health a Priority: We offer comprehensive Medical Dental and Vision plans to keep you covered.
- Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
- Have Peace of Mind: We provide Life and Disability insurance for those just in case moments. Additionally we offer voluntary Life options to keep you and your loved ones protected.
- Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
- Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
- Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
- Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.
COMPENSATION:
The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include but are not limited to: skill set years of relevant experience education location and licensure/certifications.
OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT
Diversity inclusion and belonging are at the core of Guidehealths values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race religious creed color age sex sexual orientation and identity national origin citizenship religion marital status familial status physical sensory or medical disability Family and Medical Leave military or veteran status pregnancy childbirth or other related medical conditions or any other classification protected by federal state and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring placement promotion transfer demotion layoff termination recruitment advertising pay and other forms of compensation training and general treatment during employment.
OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA
This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealths custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles the responsibilities would be further defined by the hiring manager.
REMOTE WORK TECHNICAL REQUIREMENTS
Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.
Remote Work :
Yes
Employment Type :
Full-time
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