Manager, Value Care Accounting

Responsibilities

• Own accounting activities related to value-based care, risk-sharing, capitated, and managed care arrangements.
• Support the Director by executing consistent accounting treatment for VBC patient AR valuation, reserves, and revenue estimates.
• Maintain accurate accounting for Managed Service Agreements (MSAs) and other VBC-related revenue streams.
• Reconcile VBC operational data (claims, payments, utilization) to financial results.
• Execute the full month-end close for assigned VBC entities, contracts, and joint ventures.
• Prepare, review, and post journal entries, including accruals, estimates, reclasses, and adjustments.
• Maintain complete and timely balance sheet reconciliations for all VBC-related accounts.
• Ensure close activities are completed on schedule with accurate, audit-ready documentation.
• Own the accounting for IBNR and claims payable related to VBC arrangements.
• Coordinate with actuarial partners to provide clean data inputs and record actuarial outputs.
• Reconcile IBNR balances and ensure estimate methodologies are consistently applied and documented.
• Identify trends, variances, or emerging risks and escalate insights to the Director.
• Perform accounting across multiple legal entities and ERP systems used for VBC operations.
• Maintain standardized work papers, schedules, and close checklists supporting VBC accounting.
• Support data migrations, process improvements, and system enhancements related to VBC activity.
• Prepare monthly financial statements and variance analyses for VBC entities.
• Support the Director with financial reporting, ad hoc analysis, and management-level explanations related to value-based care.
• Serve as a key accounting liaison between VBC operations, actuarial, revenue cycle, and corporate finance.
• Assist with audit requests and documentation specific to value-based care activities.
• Identify opportunities to improve close efficiency, data accuracy, and estimate reliability within VBC accounting.
• Help standardize accounting processes as VBC arrangements scale.
• Provide technical guidance and review support to other accounting staff as assigned, limited to VBC-related work.

• Bachelor’s degree in finance/accounting.
• CPA preferred.

• 6+ years of progressive accounting experience, including ownership of full month-end close.
• Healthcare accounting experience required; managed care, risk, or value-based care experience strongly preferred.
• Experience with IBNR, actuarial coordination, and accounting estimates. Multi-entity, joint venture, or contract-based accounting experience.

• Excellent leadership and communication skills, with a track record of mentoring teams and collaborating cross-functionally.
• Ability to navigate ambiguity and drive results in a fast-paced environment.
• Experience with ERP systems (e.g., SAP, Oracle, MD 365) and advanced proficiency in Microsoft Excel.
• Advanced Excel skills and comfort working with large, complex datasets.

• Ability to delegate responsibility and authority to staff and work under multiple priorities.
• Ability to work creatively with management and department staff to achieve objectives.
• Ability to communicate effectively and clearly.

• Normal office environment.

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

• HOPCo Mission, Vision, and Values must be read and signed.