REMOTE Senior Revenue Accountant

Vaco by Highspring; California (MO); On-site; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking an Interim Senior Revenue Accountant to support a major core system implementation. This hands-on role involves revenue accounting, reconciliation, and analysis. The ideal candidate will have 5+ years of accounting experience focused on revenue and financial reporting, complemented by advanced Excel skills and knowledge of healthcare revenue streams. Responsibilities include preparing journal entries, complex reconciliations, and supporting month-end close.

Qualifications

• 5+ years of accounting experience with focus on revenue or financial reporting.
• Strong understanding of journal entries, general ledger, and month-end close.
• Experience in healthcare, health plans, or highly regulated environments.

Responsibilities

• Prepare journal entries related to multiple revenue streams.
• Perform complex reconciliations and analysis of revenue data.
• Support month-end close, including revenue accruals.

Skills

Technical accounting skills

Reconciliation and analysis

Advanced Excel skills

Experience working with healthcare revenue streams

Tools

Oracle Fusion

Job description

We are partnering with a leading healthcare organization seeking an Interim Senior Revenue Accountant to support a major core system implementation. This role will backfill a key team member and play a critical part in maintaining accurate revenue accounting and reporting during a high-impact transformation.

This is a hands‑on role focused on revenue accounting, reconciliation, and analysis – ideal for someone with strong technical accounting skills and experience working with complex healthcare revenue streams.

What You’ll Do

• Prepare journal entries related to multiple revenue streams, including CMS, state programs, and premium billing
• Perform complex reconciliations and analysis of revenue data (e.g., MMR, PPR, membership, premium billing)
• Partner cross‑functionally with FP&A, Actuarial, Enrollment, and Data teams to resolve discrepancies and improve data accuracy
• Support month‑end close, including revenue accruals and risk score adjustments
• Analyze revenue trends and variances (e.g., PMPM, rate vs. volume) to support decision‑making
• Assist with regulatory and financial audits (CMS, state agencies, external auditors)
• Ensure integrity of data flows and reporting into the general ledger (Oracle Fusion)

What We’re Looking For

• 5+ years of accounting experience, with a focus on revenue or financial reporting
• Strong understanding of:
  • Journal entries, general ledger, and month‑end close
  • Account reconciliations and financial analysis
• Experience working in healthcare, health plans, or highly regulated environments
• Exposure to one or more of the following is highly preferred:
  • CMS / Medicare revenue
  • MMR / PPR reconciliation
  • Risk adjustment / risk score accruals
  • Premium billing or membership‑based revenue
• Advanced Excel skills; experience with ERP systems (Oracle Fusion preferred)

Equal Opportunity Notice

Highspring LLC (d/b/a Vaco by Highspring) and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals and do not discriminate against any employee or applicant for employment because of race, color, sex, religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by applicable law. Persons in need of reasonable accommodations are encouraged to contact [e-mail] if an accommodation is needed to participate in the job application or interview process.

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.