Manager, Value Based Care Accounting

ValueâBased Care Accounting Execution:

• Own accounting activities related to valueâbased care riskâsharing capitated and managed care arrangements.
• Support the Director by executing consistent accounting treatment for VBC patient AR valuation reserves and revenue estimates.
• Maintain accurate accounting for Managed Service Agreements (MSAs) and other VBCârelated revenue streams.
• Reconcile VBC operational data (claims payments utilization) to financial results.

MonthâEnd Close & General Ledger:

• Execute the full monthâend close for assigned VBC entities contracts and joint ventures.
• Prepare review and post journal entries including accruals estimates reclasses and adjustments.
• Maintain complete and timely balance sheet reconciliations for all VBCârelated accounts.
• Ensure close activities are completed on schedule with accurate auditâready documentation.

IBNR Estimates & Actuarial Coordination:

• Own the accounting for IBNR and claims payable related to VBC arrangements.
• Coordinate where applicable directly with actuarial partners to provide clean data inputs and record actuarial outputs.
• Reconcile IBNR balances and ensure estimate methodologies are consistently applied and documented.
• Identify trends variances or emerging risks and escalate insights to the Director.

Systems Data & MultiâEntity Environment:

• Perform accounting across multiple legal entities and ERP systems used for VBC operations.
• Maintain standardized workpapers schedules and close checklists supporting VBC accounting.
• Support data migrations process improvements and system enhancements related to VBC activity.

Reporting & Director Support:

• Prepare monthly financial statements and variance analyses for VBC entities.
• Support the Director with financial reporting ad hoc analysis and managementâlevel explanations related to valueâbased care.
• Serve as a key accounting liaison between VBC operations actuarial revenue cycle and corporate finance.
• Assist with audit requests and documentation specific to valueâbased care activities.

Process Discipline & Continuous Improvement:

• Identify opportunities to improve close efficiency data accuracy and estimate reliability within VBC accounting.
• Help standardize accounting processes as VBC arrangements scale.
• Provide technical guidance and review support to other accounting staff as assigned limited to VBCârelated work.

EDUCATION

• Bachelors degree in finance/accounting.
• CPA preferred.

EXPERIENCE.

• 6 years of progressive accounting experience including ownership of full monthâend close.
• Healthcare accounting experience required; managed care risk or valueâbased care experience strongly preferred.
• Experience with IBNR actuarial coordination and accounting estimates. Multiâentity joint venture or contractâbased accounting experience.

SKILLS

• Excellent leadership and communication skills with a track record of mentoring teams and collaborating cross-functionally.
• Ability to navigate ambiguity and drive results in a fast-paced environment.
• Experience with ERP systems (e.g. SAP Oracle MD 365) and advanced proficiency in Microsoft Excel.
• Advanced Excel skills and comfort working with large complex datasets.

ABILITIES

• Ability to delegate responsibility and authority to staff and work under multiple priorities.
• Ability to work creatively with management and department staff to achieve objectives.
• Ability to communicate effectively and clearly.

ENVIRONMENTAL WORKING CONDITIONS

• Normal office environment.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

• HOPCo Mission Vision and Values must be read and signed.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilities and working conditions may change as needs evolve.

Required Experience:

Manager