[9670] Director of Revenue Accounting & Reimbursement
On-siteSan Juan Capistrano, California, United States
Job Summary
Read, interpret, and translate state Medicaid supplemental programs, UPL/IGT funding flows, and legislative changes into GAAP-compliant revenue recognition entries. Serve as the primary liaison between reimbursement, government relations, and accounting teams to resolve program interpretation conflicts and oversee monthly revenue accruals. Support new state entries by projecting program-driven revenue and informing operator-level pricing decisions based on applicable parameters. Directly manage one Senior Revenue Accountant and partner with finance leaders to ensure accurate financial reporting across the multi-state portfolio. This role bridges the organization's reimbursement function and financial reporting infrastructure at a rapidly expanding skilled nursing operator.
Required Qualifications
- Demonstrated technical understanding of how post-acute state Medicaid programs — supplemental programs, UPL/IGT-type federal-to-state funding flows, state budget cycles — drive revenue recognition under GAAP
- The ability to move between a program document and an accounting entry without a translator
- Demonstrated ability to read and interpret state legislative and program documents
Desired Qualifications
- Healthcare accounting background with meaningful exposure to complex government payor revenue
- SNF experience at a multi-state or large regional operator
- Home health, hospice, hospital, or LTAC backgrounds
- Managed care payer experience
- California, Texas, and/or Utah state Medicaid program familiarity
- Experience supporting operator-level projections and pricing decisions tied to program reimbursement rates
- Prior controller background at a hands-on post-acute company
- Experience bridging reimbursement and accounting teams at a large SNF operator or comparable organization
- Candidates transitioning from managed care or adjacent healthcare settings with strong technical revenue accounting fundamentals
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