Director of Accounting Operations

Who Is Guide Health?

Guide Health is a data‑powered, performance‑driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guide Health leverages remotely‑embedded Health Guides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.

Physician‑led, Guide Health empowers our partners to deliver high‑quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

As a Director of Accounting Operations, you will lead the business operations finance team and oversee client facing accounting, reporting, and key corporate finance functions. This strategic and highly visible role involves significant client and corporate responsibilities, requiring regular interaction with clients, corporate staff, and internal Guide Health stakeholders.

• Client Financial Services
  • Deliver high‑quality financial services to multiple clients and maintain accurate client accounting records.
  • Provide timely financial statements and analysis, assist clients with annual budgets, and report performance against targets.
  • Oversee client‑related operations such as claim processing, funding, 1099s, cash management, and subrogation recoveries.
  • Execute delegated financial transactions in compliance with contractual requirements.
• Revenue, Billing & Accounts Receivable
  • Support client contract development to ensure proper financial service treatment and invoicing requirements.
  • Document revenue recognition in compliance with ASC 606 and oversee invoicing for Guide Health services and reimbursable expenses.
  • Ensure timely cash posting and follow up on outstanding receivables while collaborating with corporate accounting and escalating issues as needed.
• Team Leadership
  • Hire, train, and develop team members; set goals and delegate tasks.
  • Provide coaching and ensure backup for key roles.
  • Build strong internal and external client relationships.
• Internal Controls & Compliance
  • Implement and monitor policies and internal controls over assets and financial information.
  • Lead audits of Guide Health and client financial statements and escalate compliance risks as appropriate.
• System Management
  • Ensure SAGE financial system meets business needs and maintain system integrity.
  • Collaborate with IT and Business Operations to integrate financial systems with platforms like Eldorado.
  • Identify opportunities to streamline and enhance finance infrastructure.

• Bachelor’s degree in Accounting, Finance, or related field required; CPA strongly preferred.
• 10+ years of progressive accounting and reporting experience; public accounting experience a plus (Big 4 or mid‑tier firm).
• Deep experience in healthcare finance, including benefit plan design, health plan administrative operations, value‑based care, payer/provider contracting, capitation and fee‑for‑service payment models, medical cost reserves (IBNR) and reinsurance, risk‑sharing arrangements.
• Proven ability to manage client‑consultant engagements and build strong relationships with client leadership and staff.
• Expertise in monthly financial close, reporting, revenue management, invoicing, accounts receivable, banking, and cash controls.
• Skilled in interpreting client contracts for revenue recognition and service requirements.
• Excellent communication, analytical, and leadership skills with a collaborative mindset.
• Experience with integrated ERP systems (Quick Books) and financial reporting tools.
• Advanced proficiency in Microsoft Excel, Word, and PowerPoint.
• Strong process improvement and systems optimization skills; ability to leverage technology for scale.

• A values‑driven leader who fosters trust, collaboration, and operational excellence.
• Highly organized and detail‑oriented, with the ability to meet internal and client expectations for timing and quality of deliverables.
• Proactive problem‑solver who addresses issues before they escalate.
• Skilled at building credible, collaborative…