SCAN · 20 hours ago
Accounting Manager (Capitation & Claims)
Long Beach Office 3800
Full-time
Hybrid
Senior Level
$106K/yr - $160K/yr
5+ years expSCAN is a nonprofit health organization dedicated to improving care for older adults. The Accounting Manager will oversee capitation and claims accounting responsibilities, ensuring accurate reporting and compliance with financial regulations while managing a team and driving process improvements.
Elder CareHealth CareHome Health CareMedical
Responsibilities
Owns all aspects of day-to-day accounting operations for capitation and claims, including managing the month-end close process, reviewing P&L results, ensuring Balance Sheet integrity, and establishing accounting policies, procedures and internal controls
Evaluates new, proposed, and existing contractual agreements as it relates to payment methodologies for global, full and shared risk arrangements to support accounting and reporting
Monitors capitation rate structures and rate changes to support explanations for financial fluctuations and variances against budget and forecasts; Provides analytical support to Network Management, Shared Services, Value-Based Care, and other Managed Care departments by synthesizing data from multiple sources into clear, meaningful, and concise explanations and variance analysis
Leads the team in responding to and resolving provider inquiries; supports education on capitation arrangements
Ensures monthly reconciliation of data in the data tables and cubes for capitation and claims
Reviews and approves balance sheet account reconciliations to ensure accuracy and completeness
Reviews provider shared risk reports prepared by the team; collaborates with Managed Care departments (including Actuarial Services and Value-Based Care)
Manages other provider payments, including performance incentives and admin fees
Responsible for financial schedules related to capitation and claims that support the organization’s regulatory financial filings and audits; Manages interim and year-end audit requests for GAAP financial audits and regulatory financial examinations; Provides data support for annual CMS and DHCS bid processes, including capitation, shared risk pools, provider incentives, claims and other medical costs
Motivates, engages and develops team members by communicating job expectations, planning, providing training, developing personal growth opportunities, appraising job results, coaching, and counseling via regular 1:1’s and periodic goal reviews
Drives process improvements to continuously improve processes; identifies control and/or process inefficiencies, proposes and implements enhancements
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members
Actively support the achievement of SCAN’s Vision and Goals
Other duties as assigned
Qualification
Required
Bachelor's Degree or equivalent experience
5+ years of GAAP accounting and financial reporting experience at the management level
5+ years of experience within managed care finance and accounting, including capitation and claims
Deep knowledge in capitation arrangements, medical claims and IBNR, provider shared risk pools and incentive programs
Proficiency with accounting ERP systems, Oracle is a plus
Demonstrated process improvement experience
Preferred
Management level finance and accounting experience at a health insurance company, integrated healthcare system, or provider network
Experience with Medicare Advantage
Benefits
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
11 paid holidays per year, plus 1 additional floating holiday
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
Company
SCAN
About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Lyn Amor Macaraeg
CVP Chief of Staff & Strategic Advisor to the CEO
Sachin H. Jain, MD, MBA
President and CEO, Board Director
Recent News
2025-12-26
Company data provided by crunchbase