Director of Accounting Operations

Guidehealth • Bloomfield, NJ

16d • $140,000 - $150,000 • Remote

About The Position

As a Director of Accounting Operations , you will lead the business operations finance team and oversee client-facing accounting, reporting, and key corporate finance functions. This strategic and highly visible role involves significant client and corporate responsibilities, requiring regular interaction with clients, corporate staff, and internal Guidehealth stakeholders.

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.

Responsibilities

• 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.
• Provide coaching and ensure backup for key roles.
• Build strong internal and external client relationships.
• Implement and monitor policies and internal controls over assets and financial information.
• Lead audits of Guidehealth and client financial statements.
• Escalate compliance risks as appropriate.
• Ensure SAGE financial system meets business needs and maintain system integrity.
• Collaborate with IT and Business Operations to integrate financial systems with platforms like Eldorado.
• Identify opportunities to streamline and enhance finance infrastructure.

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: Welcoming a new family member takes time and commitment. 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director