Accounting Manager

Hirewell; United States; On-site; USD 105,000 - 150,000; Full time

Job summary

Hirewell is partnering with a rapidly growing multi-state healthcare organization to hire an Accounting Manager, Medical Margin responsible for overseeing healthcare revenue and medical expense accounting, leading a two-person team, and transforming financial close processes. Reporting to the Controller, this role drives accurate reporting and internal control improvements.

The ideal candidate has 7+ years in accounting within healthcare, strong GAAP expertise, and experience with payer

Qualifications

• 7+ years of progressive accounting experience with people-management or team leadership.
• Professional accounting experience within the healthcare industry.
• Strong understanding of GAAP, financial reporting, general ledger accounting, and monthly close processes.
• Experience with healthcare revenue recognition, payer arrangements, medical expenses, or related healthcare accounting functions.

Responsibilities

• Oversee the medical margin accounting function, including healthcare revenue, medical expenses, accruals, and related financial reporting.
• Manage critical components of the monthly financial close, ensuring timely and accurate accounting activities.
• Review and approve journal entries, account reconciliations, and supporting financial analyses.
• Lead payer reconciliations, ensuring accuracy between payer data, accounting records, and the general ledger.
• Analyze healthcare revenue and medical expense trends, identifying discrepancies and opportunities for improvement.
• Manage, mentor, and develop a team of two Senior Accounting Analysts.
• Partner closely with Medical Economics, Finance, IT, and other departments to ensure accurate financial reporting and alignment of operational and accounting data.
• Develop and enhance accounting policies, procedures, internal controls, and process documentation in accordance with GAAP.
• Identify opportunities to streamline close processes, improve reporting accuracy, and strengthen operational efficiencies.
• Establish cross-training initiatives and standardized processes to ensure continuity across the accounting function.
• Support payer settlement activities, audit preparation, and other accounting initiatives.
• Assist with special projects and ongoing finance transformation efforts as the organization continues to scale.

Skills

GAAP knowledge

Financial reporting

Ledger accounting

Journal entries

Excel

Communication

People management

Education

Bachelor's degree in Accounting or Finance

CPA preferred

Tools

NetSuite

Job description

Compensation: $105,000–$150,000 base + 10% target bonus

Employment Type: Full-Time, Direct Hire

About the Opportunity

We are partnering with a rapidly growing, multi-state healthcare organization specializing in primary care services for Medicare patients. With nearly 100 care centers nationwide and significant recent expansion, the organization is focused on strengthening its financial operations, optimizing processes, and building scalable infrastructure to support continued growth.

The organization is seeking an Accounting Manager, Medical Margin to oversee healthcare revenue and medical expense accounting, lead a team of accounting professionals, and support the continued transformation of its financial close processes.

Reporting directly to the Controller, this individual will play a key role in ensuring accurate financial reporting, managing payer reconciliations, strengthening internal controls, and partnering with cross-functional teams to improve accounting operations.

This is an excellent opportunity for an experienced healthcare accounting professional who enjoys hands-on leadership, process improvement, and working in a dynamic, growing organization.

Key Responsibilities

• Oversee the medical margin accounting function, including healthcare revenue, medical expenses, accruals, and related financial reporting.
• Manage critical components of the monthly financial close, ensuring timely and accurate accounting activities.
• Review and approve journal entries, account reconciliations, and supporting financial analyses.
• Lead payer reconciliations, ensuring accuracy between payer data, accounting records, and the general ledger.
• Analyze healthcare revenue and medical expense trends, identifying discrepancies and opportunities for improvement.
• Manage, mentor, and develop a team of two Senior Accounting Analysts.
• Partner closely with Medical Economics, Finance, IT, and other departments to ensure accurate financial reporting and alignment of operational and accounting data.
• Develop and enhance accounting policies, procedures, internal controls, and process documentation in accordance with GAAP.
• Identify opportunities to streamline close processes, improve reporting accuracy, and strengthen operational efficiencies.
• Establish cross-training initiatives and standardized processes to ensure continuity across the accounting function.
• Support payer settlement activities, audit preparation, and other accounting initiatives.
• Assist with special projects and ongoing finance transformation efforts as the organization continues to scale.

Qualifications

Required Qualifications

• 7+ years of progressive accounting experience, including demonstrated people-management or team leadership experience.
• Professional accounting experience within the healthcare industry.
• Strong understanding of GAAP, financial reporting, general ledger accounting, and monthly close processes.
• Experience with healthcare revenue recognition, payer arrangements, medical expenses, or related healthcare accounting functions.
• Experience reviewing journal entries, managing reconciliations, and maintaining accounting controls.
• Advanced Microsoft Excel skills.
• Strong analytical, problem-solving, and organizational abilities.
• Ability to communicate effectively with cross-functional stakeholders and senior leadership.
• Experience improving accounting processes, developing procedures, and managing competing deadlines.

Preferred Qualifications

• Active CPA license.
• Bachelor's degree in Accounting or Finance; advanced accounting education is a plus.
• Experience with Medicare Advantage, value-based care, managed care, or risk-based payer contracts.
• Exposure to capitated revenue arrangements, medical margin accounting, payer settlements, or medical expense accruals.
• Public accounting experience.
• Experience with NetSuite or comparable ERP systems.
• Experience supporting accounting operations in a rapidly growing or multi-location healthcare organization.

Why Consider This Opportunity?

• Leadership Exposure: Report directly to the Controller and collaborate with senior finance leadership.
• People Management: Lead and develop an established team of accounting professionals.
• High-Impact Work: Take ownership of a critical accounting function supporting a growing healthcare organization.
• Process Transformation: Help build scalable accounting processes, strengthen controls, and improve financial reporting.
• Career Growth: Opportunity for continued professional development and potential advancement toward broader accounting leadership roles.