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Manager, Value-Based Care Accounting

This position sits within a high-growth, private equity-backed organization that is actively scaling through acquisitions and building a best-in-class, remote-first accounting function.

The Manager, Value-Based Care Accounting is responsible for overseeing the accounting, close process, and financial accuracy of the organization’s value-based care (VBC), risk-based, and managed care arrangements. This role partners closely with leadership supporting healthcare receivables and serves as the primary accounting owner for VBC-related entities, joint ventures, and contractual arrangements.

This position translates complex operational and actuarial activity into accurate financial reporting, with ownership of month-end close, reconciliations, estimates, and supporting documentation. It is a hands-on role requiring strong technical accounting expertise, sound judgment around estimates (including IBNR), and the ability to operate independently within a multi-entity healthcare environment.

Key Responsibilities

Value-Based Care Accounting

• Lead accounting activities related to value-based care, including risk-sharing, capitated, and managed care arrangements.
• Ensure consistent accounting treatment for VBC-related accounts receivable, reserves, and revenue recognition.
• Maintain accurate accounting for managed service agreements and other VBC revenue streams.
• Reconcile operational data (e.g., claims, payments, utilization) to financial results.

Month-End Close & General Ledger

• Own the month-end close process for assigned VBC entities, contracts, and joint ventures.
• Prepare and review journal entries, including accruals, estimates, reclasses, and adjustments.
• Maintain accurate and timely balance sheet reconciliations for all VBC-related accounts.
• Ensure all close activities are completed on schedule with audit-ready documentation.

Estimates, IBNR & Actuarial Coordination

• Oversee accounting for IBNR and claims-related liabilities tied to VBC arrangements.
• Partner with actuarial teams to provide accurate data inputs and properly record outputs.
• Validate and reconcile IBNR balances, ensuring methodologies are consistently applied and documented.
• Analyze trends and variances, escalating key insights and risks to leadership.

Systems & Multi-Entity Operations

• Perform accounting across multiple legal entities and systems supporting VBC operations.
• Maintain standardized workpapers, schedules, and close checklists.
• Support system implementations, data migrations, and process enhancements related to VBC activity.

Reporting & Cross-Functional Support

• Prepare monthly financial statements and variance analyses for VBC-related entities.
• Support leadership with reporting, ad hoc analysis, and performance insights.
• Serve as a key liaison between VBC operations, actuarial, revenue cycle, and corporate finance teams.
• Assist with audit support and documentation specific to VBC activities.

Process Improvement

• Identify opportunities to enhance close efficiency, data accuracy, and reliability of estimates.
• Help standardize and scale accounting processes as VBC arrangements grow.
• Provide guidance and review support to team members on VBC-related accounting matters.

Skills & Requirements

• Bachelor’s degree in Accounting or Finance; CPA preferred.
• 6+ years of progressive accounting experience, including ownership of the month-end close process.
• Experience in healthcare accounting required, with exposure to managed care, risk-based arrangements, or value-based care strongly preferred.
• Hands-on experience with accounting estimates, including IBNR and actuarial coordination.
• Experience in multi-entity environments, including joint ventures or contract-based accounting structures.
• Strong understanding of GAAP and financial reporting requirements.
• Proficiency with ERP systems (e.g., SAP, Oracle, Microsoft Dynamics) and advanced Excel skills.
• Strong analytical and problem-solving capabilities, with the ability to work with large and complex datasets.
• Excellent communication and interpersonal skills, with the ability to collaborate across cross-functional teams.
• Ability to manage competing priorities and operate effectively in a fast-paced, evolving environment.