Director of Accounting (Healthcare)

Reporting to the SVP of Finance, the Director of Accounting will play a critical role in performing and overseeing all aspects of financial operations including, but not limited to, managing monthly close including the creation of schedules and determination of entries, ensuring the accuracy and completeness of all accounting processes, maintaining compliance with GAAP and any applicable healthcare regulations, and setting/overseeing internal financial policies. This role will be responsible for all core accounting functions including client invoicing, revenue calculation, vendor and provider payment administration, monthly financial entries and accruals, account reconciliations, audit/tax management, and other financial operations within a fast-paced Healthcare IT environment.

The ideal candidate will have a CPA, at least 10 years progressive accounting roles in completing and overseeing monthly close processes, supporting financial audits and external valuations, interacting with external tax firms and agencies, and reporting financial results and variances to management. Experience in managed care, health plan or healthcare vendor/provider organizations is preferred. Must enjoy being a working leader and hands on in a very fast paced environment with multiple competing demands and frequent change.

Responsibilities

Financial Management & Reporting

• Oversee and perform general ledger accounting, month-end and year-end close processes
• Manage and perform financial transactions related to provider incentives, reimbursements, client invoicing, and revenue recognition
• Ensure monthly account reconciliations are performed timely and supporting schedules are accurate and complete.
• Work with SVP of Finance and CFO to review changes in account balances and ensure the accuracy of financial statements and related reports as well as compliance with GAAP
• Assist in budgeting and forecasting of organization operational expenses as requested
• Monitor cash flow, accounts payable (AP), accounts receivable (AR), and provider disbursements
• Monitor and maintain internal controls to ensure financial integrity and accuracy in all core accounting transactions
  
  

Client Invoicing and Provider Incentive & Reimbursement Oversight

• Ensure accurate calculation, processing, and reporting of client revenue, invoicing and provider incentive payments based on contractual agreements
• Collaborate with client engagement and data operations teams to complete monthly client invoicing, ensuring timeliness and accuracy
• Collaborate with provider engagement teams to ensure accurate and timely provider incentive payments. Research and respond to inquiries on payment details
• Analyze variances in provider payouts and identify opportunities to optimize the incentive program
• Develop and implement controls and audit processes to continuously monitor accuracy of payments
  
  

Compliance, Audit & Regulatory Standards

• Ensure compliance with GAAP, healthcare financial regulations, internal financial policies, and client contractual terms
• Lead processes related to external audits, valuations, and tax preparation, providing necessary documentation and financial data, responding to inquiries
• Stay updated on applicable healthcare finance regulations, including CMS and value-based reimbursement models
• Implement financial best practices to mitigate risk and maintain regulatory compliance
  
  

Process Improvement & System Management

• Identify and implement process improvements and automation in accounting workflows
• Collaborate with technology teams to enhance financial data accuracy and reporting capabilities
  
  

Leadership & Team Development

• Supervise and mentor accounting staff (senior accountant and payroll specialist), fostering a culture of accuracy, collaboration, and efficiency
• Provide training and guidance on processes and financial policies
• Conduct performance evaluations and support professional development opportunities for the accounting team
• Oversee Payroll function including reconciliation of accruals, benefit tie outs, and state/local tax administration
  
  
  

Requirements

Education & Experience:

• Bachelor's degree in Accounting is required
• CPA certification is required
• 10+ years of progressive accounting experience performing all financial close functions and overseeing full scope of accounting activities (required)
• Experience in managed care, provider organization, healthcare vendor, or healthcare IT organization (preferred)
• Strong knowledge of GAAP and accounting operations best practices
• Experience with NetSuite ERP (required)
• Experience with Bill.com and Paycom (helpful)
• Familiarity with CMS guidelines, healthcare reimbursement, and provider payment structures is a plus
  
  

Skills & Competencies:

• Strong leadership and team management abilities
• Proficiency in Microsoft Excel and NetSuite
• Exceptional attention to detail and ability to manage multiple priorities in a fast-paced environment
• Strong written and verbal communication skills
• Must enjoy collaboration across many different functionals
• Very strong critical thinking and analytical skills
  
  
  

Benefits


WORKING AT VATICA HEALTH ADVANTAGES


Prosperity

• Competitive salary based on your experience and skills - we believe the top talent deserves the top dollar
• Bonus Potential (based on role and is discretionary) - if you go above and beyond, you should be rewarded
• 401k plans- we want to empower you to prepare for your future
• Room for growth and advancement- we love our employees and want to develop within
  
  
  

Good Health

• Comprehensive Medical, Dental, and Vision insurance plans
• Tax-free Dependent Care Account
• Life insurance, short-term, and long-term disability
  
  
  

Happiness

• Excellent PTO policy (everyone deserves a vacation now and then)
• Great work-life balance environment- We believe family comes first!
• Strong supportive teams- There is always a helping hand when you need it
  
  

The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $150,000 to $160,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered.