Director, Revenue Accounting

Duly Health and Care • Downers Grove, IL

2d • Hybrid

About The Position

The Director of Revenue Accounting leads all revenue recognition, financial reporting, and accounting operations related to Fee‑for‑Service (FFS) and Value‑Based Care (VBC) reimbursement models. This role ensures accurate GAAP‑compliant revenue accounting across professional, facility, capitation, shared savings, quality incentives, and risk‑based arrangements. The director partners with Revenue Cycle, Population Health, Contracting, FP&A, and Clinical Operations to translate complex reimbursement structures into accurate financial results and actionable insights.

Requirements

• Bachelor’s degree in accounting, Finance, or related field.
• 4+ years of progressive accounting experience preferably in healthcare.
• Knowledge of FFS reimbursement, VBC models, and GAAP a plus.
• Some experience with revenue recognition for capitation, shared savings, and risk‑based contracts.
• Leadership experience managing accounting or revenue teams.

Nice To Haves

• CPA or MBA.
• Experience in a health system, large medical group, ACO, MSO, or payor.
• Familiarity with risk adjustment methodologies, actuarial concepts, and claims analytics.
• Knowledge of ERP systems and healthcare revenue tools.

Responsibilities

• Oversee revenue recognition for FFS, capitation, shared savings, quality incentives, and risk‑adjusted revenue.
• Ensure compliance with GAAP, healthcare revenue accounting standards, and payor contract requirements.
• Lead monthly and quarterly revenue close processes, including accruals, reconciliations, and variance analysis.
• Develop and maintain accounting policies for both traditional and alternative payment models.
• Partner with Revenue Cycle to ensure accurate charge capture, coding, billing, and collections.
• Monitor denials, underpayments, and payor behavior to ensure accurate net revenue.
• Oversee reconciliation of billed vs. recognized revenue and identify trends impacting financial performance.
• Lead accounting for shared savings, downside risk, quality bonuses, risk adjustment, and attribution‑based payments.
• Manage payor settlements, reconciliation statements, and dispute resolution.
• Collaborate with Population Health and Actuarial teams to validate performance metrics and financial projections.
• Ensure accurate accruals for expected VBC revenue based on utilization, quality, and risk scoring.
• Produce executive‑level reporting on revenue performance across FFS and VBC portfolios.
• Analyze trends in utilization, payor mix, risk scores, and contract performance.
• Support budgeting and forecasting for both traditional and alternative reimbursement streams.
• Provide insights to leadership on revenue risks, opportunities, and strategic implications.
• Work with Contracting to evaluate payor agreements and financial impact.
• Partner with Clinical Operations and Population Health to connect financial outcomes with care delivery initiatives.
• Collaborate with IT/Data teams to ensure integrity of claims, encounter, and attribution data.
• Lead and mentor a team of revenue accountants.
• Build scalable processes and internal controls to support organizational growth.
• Foster a culture of accuracy, accountability, and continuous improvement

Benefits

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

What This Job Offers

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