Director of Revenue Accounting

Position Summary

The Director of Revenue Accounting leads all revenue-related accounting for the company’s home health, hospice, and home care services. This role ensures accurate, compliant revenue recognition under U.S. GAAP, ASC 606, CMS rules, and SOX 404. The ideal candidate has strong technical accounting expertise, deep knowledge of healthcare reimbursement, and the ability to partner across operations, billing, finance, and executive teams.

• Revenue Recognition & Technical Accounting
  • Oversee end‑to‑end revenue accounting for Home Health (PDGM), Hospice (Medicare per‑diem, caps), and Home Care/Personal Care programs.
  • Own ASC 606 technical positions, policies, and revenue models.
  • Approve monthly revenue entries, reconciliations, and reserves.
  • Ensure accurate Medicare/Medicaid reporting, including allowances, LUPA/RAP impacts, hospice cap accruals, and settlement reserves.
  • Support quarterly and annual audit processes.
• SOX Controls & Compliance
  • Build and maintain SOX‑compliant revenue and billing controls.
  • Manage documentation, testing, and remediation with Internal Audit.
  • Strengthen controls across billing systems and integrations.
• Leadership & Collaboration
  • Lead and develop the revenue accounting team.
  • Partner with Revenue Cycle, FP&A, Clinical Ops, Compliance, and IT.
  • Support M&A due diligence, integrations, and system conversions.
• Month‑End Close & Reporting
  • Oversee timely, accurate revenue close.
  • Deliver analytics, trends, and variance insights to leadership.
  • Review internal/external financial reporting and support forecasting.
• Systems & Process Improvement
  • Drive automation and standardization across revenue workflows.
  • Improve financial system integrations and data integrity.
  • Lead ongoing process improvements for better visibility and reporting.

• Required
  • Bachelor’s in Accounting/Finance; CPA required.
  • 8+ years progressive accounting experience, including 3+ in leadership.
  • Strong ASC 606 and healthcare revenue expertise.
  • Public company/SOX 404 experience.
  • Knowledge of home health, hospice, and Medicaid/managed care reimbursement.
• Preferred
  • Big Four or national firm experience.
  • Experience with post‑acute systems (HCHB, Matrix Care, Kan Time, Well Sky).
  • Multi‑state healthcare operations and M&A integration experience.
• Key Competencies
  • Strong GAAP/ASC 606 and healthcare reimbursement expertise.
  • Effective leadership in high‑growth environments.
  • Commitment to compliance and internal controls.
  • Cross‑functional collaboration and influence.
  • Strategic thinker focused on scalable processes and systems.

As part of The Pennant Group, our work is rooted in the CAPLICO core values — C Customer Second, A Accountability, P Passion for Learning, L Love One Another, I Intelligent Risk‑Taking, C Celebration, and O Ownership. These values guide how we support our partners and build a culture of empathy, growth, and purpose.

We are committed to providing a competitive Total Rewards Package that meets our employees’ needs, including medical, dental, and vision plans, retirement savings opportunities through a 401(k) plan with company match, and a range of other benefits. We celebrate employees’ efforts through both local and company wide Moments of Truth Programs and support professional growth with free e‑courses, training sessions, and seminars.

Eagle,  Salt Lake City, UT

Hybrid

DOE