Senior Manager, Technical Revenue Accounting

Position:Senior Manager, Technical Revenue Accounting

Location: Irvine, CA

Job :1714

# of Openings:0

Position Type: Full Time, exempt employee

Salary Range: $140,000-$180,000 annually, DOE; may be eligible for bonus. Compensation will be based on the candidate’s experience, qualifications, and geographic location.

Location: This position based onsite at the Service Center in San Juan Capistrano, CA.

Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc., which is a national leader in the operation of skilled nursing, senior living, rehabilitation, home health, hospice, and other healthcare services. ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting.

We seek individuals who thrive in a dynamic environment, embrace continuous learning, and are passionate about making a meaningful impact. We take our core values of Celebration
, Accountability
, Passion
for
Learning
, Love
One
Another
, Intelligent
Risk
Taking
, Customer
Second
, and Ownership (“CAPLICO”) seriously. We want an individual in this role who will demonstrate these values through actions and words.

The Senior Manager, Technical Revenue Accounting is responsible for leading complex revenue programs, reimbursement arrangements, and technical revenue accounting initiatives that impact the Company's financial reporting. This role serves as a cross-functional bridge between Revenue Technical Accounting, Reimbursement, Revenue Cycle, Operations, Finance, IT, and senior leadership to support accurate revenue recognition, strong internal controls, and scalable revenue processes.

This position is designed for a strategic individual contributor or lead-level professional who can evaluate complex reimbursement models, document accounting conclusions, support close and audit activities, and drive process improvement through data analytics, automation, and cross-functional partnership.

• Lead revenue-related programs and initiatives impacting patient service revenue and reimbursement.
• Serve as a subject matter expert for complex revenue arrangements, reimbursement structures, and program implementation matters.
• Evaluate new reimbursement programs, contractual arrangements, payor initiatives, and operational changes for financial statement impacts.
• Coordinate implementation of new revenue programs across Accounting, Reimbursement, Revenue Cycle, Operations, Finance, and IT.
• Establish governance, documentation standards, timelines, and accountability for revenue-related initiatives.
• Interpret and apply revenue recognition guidance under ASC 606 and other applicable U.S. GAAP standards.
• Prepare, review, and maintain technical accounting memorandums supporting revenue conclusions and key estimates.
• Analyze and document accounting treatment for unique reimbursement programs, managed care contracts, value-based payment arrangements, and other complex revenue matters.
• Communicate accounting impact to cross functional teams and field operational partners.
• Analyze Medicare, Medicaid, Managed Care, and other reimbursement arrangements, including state quality or supplemental payment programs where applicable.
• Monitor state and federal reimbursement updates and assess related accounting, reporting, and operational impacts.
• Review net patient revenue estimates, contractual allowances, reserves, settlement accruals, and related assumptions.
• Perform revenue trend analysis and identify key drivers impacting financial performance.
• Develop reporting, dashboards, and KPIs to improve visibility into revenue trends, program performance, and financial risks.
• Support monthly, quarterly, and annual financial reporting requirements related to revenue recognition and net patient revenue.
• Review revenue journal entries, reconciliations, variance analyses, and supporting schedules.
• Review…