Senior Accountant

Responsibilities

• Lead and manage the full accounts‑receivable lifecycle related to patient affordability and market‑access programs, including invoicing, cash application, adjustments, credits, and collections.
• Reconcile manufacturer funding, program reimbursements, administrative fees, and third‑party payments to contractual terms.
• Calculate, book, and reconcile deferred revenue in accordance with GAAP and contractual obligations.
• Analyze reimbursement activity to identify short‑payments, over payments, eligibility discrepancies, and funding gaps.
• Monitor aging reports, unapplied cash, deferred revenue balances, and program receivable accounts to ensure timely resolution.
• Review and approve financial adjustments, credits, reserves, and write‑offs.
• Ensure revenue recognition aligns with GAAP, contract terms, and performance obligation timing.
• Evaluate program contracts to determine appropriate revenue recognition treatment, including performance obligation identification.
• Prepare and record journal entries related to program revenue, deferred revenue, accruals, reserves, and receivables.
• Reconcile deferred revenue schedules to the general ledger monthly.
• Lead the preparation of revenue roll‑forwards and audit‑ready documentation.
• Support technical accounting analysis related to contract modifications or new program structures.
• Serve as the financial liaison to Patient Services, Market Access, and Customer Service teams for billing and reimbursement inquiries.
• Resolve escalated patient assistance or copay‑program financial discrepancies.
• Provide financial insight into program funding utilization, reimbursement trends, and revenue timing.
• Assist in evaluating the financial impact of program design changes or new market‑access initiatives.
• Identify recurring process issues impacting patient experience and recommend improvements.
• Lead month‑end close activities for affordability and access programs, including AR, deferred revenue, accruals, and funding reconciliations.
• Reconcile program sub‑ledgers to the general ledger.
• Prepare financial reporting and analytics for leadership, including funding utilization, DSO, deferred revenue balances, and reimbursement variance trends.
• Support forecasting and budgeting related to program revenue and funding utilization.
• Maintain strong internal controls over billing, reimbursement validation, deferred revenue, and funding reconciliation.
• Ensure compliance with contractual agreements, program guidelines, and company financial policies.
• Support internal and external audits, including documentation related to revenue recognition and deferred revenue balances.
• Document and enhance financial procedures related to affordability and access programs.
• Develop and monitor KPIs including DSO, funding utilization rates, reimbursement variance trends, deferred revenue aging, and cash conversion metrics.
• Identify trends impacting financial performance, revenue timing, or program sustainability.
• Recommend automation and reporting enhancements to improve revenue and deferred revenue transparency.
• Participate in ERP enhancements or program‑platform implementations affecting revenue accounting.

• Bachelor’s degree in Accounting, Finance, or related field (mandatory). CPA preferred.
• 7+ years of progressive accounting experience.
• 5+ years working in the order‑to‑cash cycle, including contract review, invoicing, and accounts‑receivable management.
• 3+ years in complex accounting environments (e.g., ASC
  606, ASC
  842, ASC
  805).
• Strong experience managing AR, billing, and revenue recognition in a reimbursement‑driven, contract‑based environment.
• Mandated experience calculating, booking, and reconciling deferred revenue.
• Mandated experience supporting patient affordability programs, copay assistance, hub services, or market‑access functions preferred.
• Mandated experience with ERP systems and program‑management platforms.
• Mandated technical knowledge of GAAP, ASC
  606, and revenue recognition principles; obligately skilled at analyzing complex contracts and performance obligations.
• Mandated advanced Excel proficiency and strong analytical capabilities.
• Mandated ability to interpret and apply program‑funding agreements and reimbursement methodologies.