Guide Healthcare

Director of Accounting Operations

Guide Healthcare

full-time

Posted on:

Location Type: Remote

Location: Remote • Connecticut, Minnesota, New Jersey • 🇺🇸 United States

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Salary

💰 $140,000 - $150,000 per year

Job Level

Lead

Tech Stack

ERP

About the role

  • 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.
  • 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.
  • Hire, train, and develop team members; set goals and delegate tasks.
  • Implement and monitor policies and internal controls over assets and financial information.
  • Lead audits of Guidehealth and client financial statements.
  • Ensure SAGE financial system meets business needs and maintain system integrity.

Requirements

  • Bachelor’s 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.
Benefits
  • 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: 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.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
financial servicesclient accountingfinancial statementsbudgetingrevenue recognitionASC 606auditingcash managementinvoicingaccounts receivable
Soft skills
communicationanalyticalleadershipcollaborationrelationship managementteam developmentgoal settingdelegationprocess improvementsystems optimization
Certifications
Bachelor’s degree in AccountingBachelor’s degree in FinanceCPA