Senior Corporate Accountant

Overview

This role is for a Senior Corporate Accountant specializing in Revenue and Regulatory Reporting within the healthcare sector. It is ideal for Certified Public Accountants (CPAs) with 2–4 busy seasons of public accounting experience seeking to transition into a specialized, analytical corporate position. The focus is on net revenue recognition, accounts receivable valuation, and regulatory compliance for hospitals and healthcare providers.

The position does not involve traditional accounting tasks such as month-end close, expense management, or general ledger entries. Instead, it emphasizes ensuring the accuracy of complex accounts receivable reserves and state supplemental funding balances, as well as managing Medicare and Medicaid cost reporting and audits.

This is a 100% remote or hybrid role based with a team in Nashville, with no billable hours required. No prior healthcare experience is necessary as training on healthcare-specific topics will be provided.

Responsibilities

Revenue Valuation & Reserve Analysis

• Conduct specialized monthly reviews of net revenue, cost report reserves, and accounts receivable valuation for a portfolio of hospitals.
• Validate the accuracy and proper statement of accounts receivable reserves and state supplemental balances.
• Develop and maintain analytical tools, profitability models, and financial indicator reports to monitor revenue valuation trends.

Regulatory & Reimbursement Management

• Prepare and submit annual Medicare and Medicaid cost reports, audits, appeals, and reopenings.
• Identify reimbursement opportunities such as Medicare geographic reclassification, Disproportionate Share Hospital (DSH) adjustments, and state/local government funding programs.
• Monitor legislative and regulatory changes in state Medicaid programs and assess their impact on revenue models.
• Communicate directly with Medicare and Medicaid intermediaries to resolve audit and reporting issues.

Stakeholder Communication & Projects

• Manage targeted projects aimed at optimizing net revenue and ensuring regulatory compliance.
• Provide high-level operational feedback and decision support to executive management.
• Maintain quarterly communication with CFOs to present financial insights; routine hospital-level communication is minimal due to automation.

Requirements

• Bachelor’s Degree in Accounting or Finance.
• Minimum of 1 year recent accounting or auditing experience with a CPA firm, including at least 2 busy seasons.
• Certified Public Accountant (CPA) license required.

Skills and Abilities

• Strong analytical skills with a focus on data validation and problem-solving rather than transactional accounting.
• Advanced proficiency in Microsoft Excel and comfort working in highly automated financial environments.
• Excellent verbal and written communication skills for executive-level reporting and interaction with regulatory bodies.
• Detail-oriented with the ability to audit complex valuation models and identify anomalies in large data sets.

Location

• Remote or hybrid work arrangement with the Nashville team.

Compensation & Benefits

• No billable hours required.
• Training provided on healthcare-specific regulatory and reimbursement topics.