Director of Accounting Operations
Posted on January 22, 2026 (about 1 hour ago)
Company Description
WHO IS GUIDEHEALTH?
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
Job Description
As a Director of Accounting Operations, you will lead the business operations finance team and oversee client-facing accounting, reporting, and key corporate finance functions. This strategic and highly visible role involves significant client and corporate responsibilities, requiring regular interaction with clients, corporate staff, and internal Guidehealth stakeholders.
WHAT YOULL BE DOING
- Client Financial Services
- Deliver high-quality financial services to multiple clients in line with contracts.
- Maintain accurate client accounting records and provide timely financial statements and analysis.
- Assist clients with annual budgets and report performance against targets.
- Oversee client-related operations such as claim processing, funding, 1099s, cash management, and subrogation recoveries.
- Execute delegated financial transactions in compliance with contractual requirements.
- Revenue, Billing & Accounts Receivable
- Support client contract development to ensure proper financial service treatment and invoicing requirements.
- Document revenue recognition in compliance with ASC 606.
- Oversee invoicing for Guidehealth services and reimbursable expenses.
- Ensure timely cash posting and follow up on outstanding receivables.
- Collaborate with corporate accounting and escalate issues as needed.
- Team Leadership
- Hire, train, and develop team members; set goals and delegate tasks.
- Provide coaching and ensure backup for key roles.
- Build strong internal and external client relationships.
- Internal Controls & Compliance
- Implement and monitor policies and internal controls over assets and financial information.
- Lead audits of Guidehealth and client financial statements.
- Escalate compliance risks as appropriate.
- System Management
- Ensure SAGE financial system meets business needs and maintain system integrity.
- Collaborate with IT and Business Operations to integrate financial systems with platforms like Eldorado.
- Identify opportunities to streamline and enhance finance infrastructure.
Qualifications
WHAT YOULL NEED TO HAVE
- Bachelors degree in Accounting, Finance, or related field required; CPA strongly preferred.
- 10+ years of progressive accounting and reporting experience; public accounting experience a plus (Big 4 or mid-tier firm).
- Deep experience in healthcare finance (payer or health system), including benefit plan design, health plan administrative operations, value-based care, payer/provider contracting, capitation and fee-for-service payment models, medical cost reserves (IBNR) and reinsurance, and risk-sharing arrangements.
- Proven ability to manage client-consultant engagements and build strong relationships with client leadership and staff.
- Expertise in monthly financial close, reporting, revenue management, invoicing, accounts receivable, banking, and cash controls.
- Skilled in interpreting client contracts for revenue recognition and service requirements.
- Excellent communication, analytical, and leadership skills with a collaborative mindset.
- Experience with integrated ERP systems (QuickBooks) and financial reporting tools.
- Advanced proficiency in Microsoft Excel, Word, and PowerPoint.
- Strong process improvement and systems optimization skills; ability to leverage technology for scale.
WHO YOU ARE
- A values-driven leader who fosters trust, collaboration, and operational excellence.
- Highly organized and detail-oriented, with the ability to meet internal and client expectations for timing and quality of deliverables.
- Proactive problem-solver who addresses issues before they escalate.
- Skilled at building credible, collaborative relationships with internal and external stakeholders.
Additional Information
The base pay range for this role is between $140,000.00 to $150,000.00 annually.
ALIVE with Purpose: How We Thrive at Guidehealth
At Guidehealth, our values come to life in everything we do. We are Driven by Accountability; Always Growing, Always Learning; Collaborative Innovation; Every Voice Matters; and Empathy in Action. These values guide how we work and serve patients.
Benefits:
Guidehealth is a fully remote company. Full-time employees (30+ hours/week) are eligible for comprehensive benefits including medical, dental, and vision plans; 401(k) with a 3% employer match to a 6% contribution; life and disability insurance; Employee Assistance Program (EAP); paid time off; paid parental leave; and professional learning and development resources.
Compensation:
The listed compensation range is paid bi-weekly. Final base pay decisions depend on factors such as skill set, experience, education, location, and certifications.
Commitment to Equal Opportunity Employment and Data Protection:
Guidehealth is an equal opportunity employer committed to diversity and inclusion. This position must follow security policies and procedures to protect PHI, PII, and Guidehealth intellectual property. Remote work requires employee-provided internet (minimum 100 Mbps download, 10 Mbps upload); Guidehealth provides necessary equipment.
How to Apply
Please apply through Guidehealth's SmartRecruiters application by clicking the "I'm interested" link on the job posting or by visiting the application URL below and following the prompts.
Application Link
https://jobs.smartrecruiters.com/oneclick-ui/company/Guidehealth/publication/8d4b001f-b8a0-4bd9-ad14-ae55029ba253?dcr_ci=Guidehealth