Career Opportunity
Manager, Value-Based Care Accounting
Category
Accounting
Location
Chicago, Illinois
Salary
$130,000 - $165,000
Job Reference
189136
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.
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.
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