Senior Director of Accounting

Senior Director of Accounting

About the Opportunity

Join a rapidly growing, physician-focused healthcare organization that is transforming how care is delivered to Medicare and value-based care populations. This is a highly visible leadership role with direct exposure to executive leadership and the opportunity to build scalable accounting and finance processes within a complex, multi-entity healthcare environment.

The organization is seeking a Senior Director of Accounting to lead health plan accounting operations, oversee medical expense reserving, and provide strategic financial leadership across a growing risk-bearing healthcare platform.

Key Responsibilities

• Own the end-to-end monthly close process for health plan accounting, including:
• Medical expense reserves and IBNR
• Revenue recognition and accruals, including risk adjustment (RAF)
• Capitation accounting
• Financial reconciliations across multiple payer and risk-sharing arrangements
• Lead preparation and review of monthly financial reporting packages for executive leadership, ensuring accuracy, timeliness, and consistency.
• Oversee IBNR estimation processes and manage relationships with external actuarial partners.
• Direct the preparation and review of journal entries, account reconciliations, and settlement activities.
• Ensure SOX compliance and strengthen internal control processes related to financial reporting.
• Lead external audit activities and serve as the primary accounting contact for auditor inquiries.
• Partner closely with FP&A, operations, and executive leadership to provide financial insights that support strategic decision-making.
• Establish and enhance scalable accounting policies, procedures, and financial management processes within a multi-entity environment.
• Monitor financial performance against organizational goals, identifying risks and opportunities.
• Recruit, develop, and lead a high-performing accounting and finance team.

Qualifications

• Bachelor's degree in Accounting, Finance, or related field.
• CPA strongly preferred; Master's degree a plus.
• 7+ years of progressive accounting and finance leadership experience within healthcare.
• 3+ years leading accounting or finance teams.
• Experience within publicly traded organizations and SOX-controlled environments.
• Strong expertise in:
• Health plan accounting
• IBNR and medical expense reserving
• Risk adjustment revenue (RAF)
• Capitation accounting
• Managed care and value-based care models
• Global and shared-risk arrangements
• Multi-entity financial reporting
• Experience working with external auditors and actuarial partners.
• Proven ability to lead in a fast-paced, growth-oriented healthcare environment.

Ideal Background

Candidates may come from health plans, managed care organizations, Medicare Advantage companies, value-based care platforms, delegated/IPA groups, risk-bearing provider organizations, or other healthcare businesses operating under capitation and global risk models.