Director of Accounting

We are looking for an experienced Director of Accounting to oversee revenue and medical cost accounting within a Medicare Advantage environment in Saint Louis, Missouri. This Long-term Contract position will lead core financial reporting activities, strengthen compliance with healthcare and accounting regulations, and provide strategic guidance on financial performance. The role works closely with cross-functional partners to support accurate reporting, operational insight, and scalable accounting practices while leading and developing a high-performing team.

Responsibilities:
• Direct the monthly, quarterly, and annual close cycle for healthcare revenue and medical cost accounting, ensuring timely financial statements for leadership review.
• Oversee general ledger accuracy by reviewing reconciliations, journal entries, analytical fluctuations, and supporting schedules across premium revenue and medical expense accounts.
• Manage statutory and regulatory reporting for multiple jurisdictions, including preparation of required filings and coordination of responses to oversight agencies.
• Evaluate capital and surplus positions across health plan entities, identify compliance risks, and advise senior leaders on corrective actions or financial strategies.
• Create and refine accounting policies, internal procedures, and control frameworks to align with applicable standards and organizational requirements.
• Collaborate with FP& A, Actuarial, Claims, Pharmacy, Operations, IT, Compliance, and other business teams to ensure source data and reporting processes produce reliable financial results.
• Support growth initiatives and market expansion efforts by developing accounting plans that address new products, regulatory requirements, and operational impacts.
• Act as the primary accounting contact for internal, external, and regulatory audits related to revenue recognition, medical costs, and financial reporting.
• Drive process improvements through automation, standardization, and stronger close and reporting workflows to improve efficiency and audit readiness.
• Lead, mentor, and develop accounting staff through performance management, coaching, succession planning, and prioritization of team objectives.

Qualifications:

• 5+ years of accounting leadership experience, including responsibility for financial reporting and close activities.
• Strong background in healthcare finance with direct experience supporting Medicare and Medicaid-related accounting.
• Demonstrated expertise in month-end close, account reconciliations, variance analysis, and financial statement preparation.
• CPA designation required.
• Experience supporting financial statement audits, regulatory reviews, and audit documentation processes.
• Proficiency with BlackLine and other accounting systems used for close and reconciliation management.
• In-depth knowledge of accounting standards, internal controls, and compliance expectations within regulated healthcare environments.

Compensation

Based on experience

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