Accounting Manager - Remote

UnitedHealth Group•Eden Prairie, MN

2d•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Care At Home ('CAH') is an integrated care delivery provider, managed by a comprehensive interdisciplinary team focused on delivering high-touch, community-based support directly in the homes of our most fragile, medically complex, and costly populations. Our approach is designed to reduce friction for members by addressing their physical, mental, and social needs according to their personal care preferences and the location they desire for care. We currently serve over one million members across more than 17 markets. One of the unique features of our model is the introduction of a care navigator to each member. The care navigator acts as the "quarterback" of the care team, with a primary focus on connecting members to doctors, coordinating care needs-including member benefits-and ensuring members receive their annual comprehensive visit. They also link members with local resources such as transportation, home health, and food assistance, identify Stars gaps and help facilitate closure, and support UHC sales agents. The Accounting Manager is responsible for leading critical revenue and membership accounting functions across complex healthcare arrangements, including Medicaid, Medicare Advantage (DSNP/CSNP), and ACO contracts. This role oversees key components of the monthly close, ensures compliance with revenue recognition standards, manages high‑risk balance sheet accounts, and partners cross‑functionally to support accurate financial reporting and forecasting. In addition to technical accounting ownership, this role provides leadership, guidance, and oversight to accountants supporting revenue and close activities, while driving process improvement and consistency across reporting cycles. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Bachelor's degree in accounting
5+ years of accounting experience
Advanced Excel and data analysis skills
Prior experience leading or reviewing complex close areas
Proven ability to manage competing priorities in a deadline‑driven environment

Nice To Haves

CPA
Accounting and finance systems experience - PeopleSoft, SmartView / Essbase
SOX and audit leadership experience
Excellent written and verbal communication skills

Responsibilities

Oversee assigned portions of the monthly, quarterly, and annual close, ensuring accuracy, completeness, and timely execution
Review and approve complex journal entries, including: Medicaid and Medicare revenue and membership, ECAP revenue, withholds, eligibility, and payment adjustments, ACO membership and revenue accruals and multi‑year true‑ups, RAF accruals (current, EOL, and Final), Management fee, admin fee, and specialty revenue entries
Ensure alignment of revenue and membership across RAM, ECAP, and UHC reporting
Own oversight of high‑risk reconciliations, including revenue, AR, eliminations, and intercompany accounts
Review variance analyses, challenge assumptions, and ensure timely issue resolution
Ensure compliance with SOX and internal control standards; maintain high‑quality, audit‑ready documentation
Serve as a primary point of contact for internal and external audit inquiries related to revenue and close activity
Review and approve key reporting deliverables, including: Revenue Recognition Tracker, Statement of Net Assets, Cash flow commentary, forecasts, and best estimates, Quarterly asset reviews
Partner with FP&A on forecasting, trend analysis, and variance explanations
Provide insights to leadership on revenue drivers, risks, and emerging issues
Provide day‑to‑day leadership, coaching, and oversight to accountants supporting revenue and close operations
Partner closely with Finance, FP&A, Actuarial, Operations, and Consolidations teams to resolve issues, validate estimates, and support reporting requirements
Act as a subject‑matter expert for healthcare revenue and membership accounting within CAH