Guidehealth · 3 weeks ago
Director of Accounting Operations
Guidehealth is a data-powered healthcare company focused on operational excellence and improving patient health. The Director of Accounting Operations will lead the business operations finance team, overseeing client-facing accounting, reporting, and corporate finance functions while maintaining strong relationships with clients and internal stakeholders.
Artificial Intelligence (AI)Health CareInformation TechnologyMedical
Responsibilities
Deliver high-quality financial services to multiple clients in line with contracts
Maintain accurate client accounting records and 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
Support client contract development to ensure proper financial service treatment and invoicing requirements
Document revenue recognition in compliance with ASC 606
Oversee invoicing for Guidehealth services and reimbursable expenses
Ensure timely cash posting and follow up on outstanding receivables
Collaborate with corporate accounting and escalate issues as needed
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
Implement and monitor policies and internal controls over assets and financial information
Lead audits of Guidehealth and client financial statements
Escalate compliance risks as appropriate
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
Qualification
Required
Bachelor's degree in Accounting, Finance, or related field required
10+ years of progressive accounting and reporting experience
Deep experience in healthcare finance (payer or health system), 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 (QuickBooks) 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
Preferred
CPA strongly preferred
Public accounting experience a plus (Big 4 or mid-tier firm)
Benefits
Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.
Company
Guidehealth
Guidehealth offers healthcare solutions focusing on patient care, provider support, and technology integration.
Funding
Current Stage
Growth StageTotal Funding
$24MKey Investors
Memorial Hermann Health System
2025-06-10Series Unknown· $10M
2024-08-06Seed· $14M
Recent News
2025-10-17
2025-09-12
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