Senior Accountant - Medicare Advantage Payments

Verda Healthcare Inc; Huntington Beach (CA); On-site; USD 75,000 - 85,000; Full time

Benefits offered by this job

401(k)

Health insurance

Dental Insurance

Vision insurance

Life insurance

Paid time off

Job summary

Verda Healthcare, Inc. in Huntington Beach, CA is seeking a Senior Accountant – Medicare Advantage to oversee complex payment operations, including capitation, provider payments, 1099s, and monthly close for a regulated health plan environment.

The role requires GAAP expertise, 5+ years in healthcare accounting, and strong process-improvement skills. You will report to the Controller and contribute to audits and financial reporting.

Qualifications

• Bachelor’s degree in accounting, finance, or related field.
• 5+ years of progressive accounting and financial reporting experience with a solid understanding of GAAP.
• Experience with multiple entities and consolidation, with an understanding of expense allocation preferred.
• Working experience to the 1099 reporting process.
• Ability to communicate clearly and professionally with vendors and internal teams.
• Detail-oriented with a focus on accuracy and compliance.
• Well-organized and able to manage multiple priorities under deadlines.
• Proficiency with ERP systems (QBO) and AP/workflow tools.
• Advanced Excel skills (pivot tables, XLOOKUP/VLOOKUP, reconciliation and data analysis).

Responsibilities

• Process and oversee monthly capitation payments to delegated IPAs, ensuring accuracy, timeliness, and contractual compliance.
• Validate commission data accuracy across enrollment, commission, and financial systems.
• Maintain broker/agent master data, payment setup, and tax documentation.
• Support internal, external, and regulatory audits related to commission payments.
• Supervision of Processing high-volume, complex AP transactions for Medicare Advantage administrative and operational vendors.
• Prepare weekly check run for Finance approval and processing.
• Review invoices and other related documents to resolve exceptions prior to posting invoices for payments.
• Own the accuracy and completeness of provider, IPA, broker, and vendor payment data across AP and upstream systems.
• Ensure proper invoice coding, approvals, accruals, and documentation in compliance with CMS regulations and internal control standards.
• Investigates and escalates issues associated with invoices and communicates as appropriate.
• Maintain audit-ready support for CMS audits, internal audits, and financial audits.
• Oversee the end-to-end 1099 process, including vendor and provider classification, annual data validation, reconciliation, issuance, and correction filings.
• Lead and support monthly, quarterly, and year-end close process, ensuring accuracy and timeliness.
• Perform account reconciliations and resolve reconciling items related to provider payments, capitation, commissions, and vendor disbursements.
• Support system implementations, upgrades, and automation initiatives related to AP and payment operations.

Skills

5+ years accounting

GAAP knowledge

Advanced Excel

QBO ERP

Vendor communication

Detail-oriented

Time management

Education

Bachelor's degree in accounting or finance

Tools

QBO (QuickBooks Online)

AP workflow tools

Job description

Verda Healthcare, Inc. in Huntington Beach, CA is seeking a Senior Accountant – Medicare Advantage to oversee complex payment operations, including capitation, provider payments, 1099s, and monthly close for a regulated health plan environment.

The role requires GAAP expertise, 5+ years in healthcare accounting, and strong process-improvement skills. You will report to the Controller and contribute to audits and financial reporting.