Demo

Director, Value Based Care Accounting

archwellhealth
Nashville, TN Full Time
POSTED ON 10/1/2025
AVAILABLE BEFORE 11/1/2025

Job Summary:

 

The Director of Value Based Care Accounting is an integral member of the ArchWell Health Finance team and of the broader organization. The primary focus of the Director will be to oversee the preparation and recording of all medical margin activities for multiple payor partners across multiple geographic regions and locations. The Director will report to the VP Controller and support the ArchWell accounting team in all matters relating to revenue recognition, IBNR reporting, accounts receivable tracking and reconciliation, and statistical transactions such as changes in membership. The Director will work closely with the Chief Actuary to support the recording of actuarial guidance and may provide supporting analysis or reporting to the Chief Actuary and other members of the Executive Leadership Team, including the Chief Financial Officer. The Director will lead and develop a team with the goal of timely and accurately presenting medical margin information to be used in the financial statements of the organization.

 

Duties/Responsibilities:

  • Lead the monthly Medical Margin financial close and provide timely and accurate reporting on revenue and medical expenses
  • Develop and maintain accounting policies and procedures that support the unique requirements of ArchWell Health’s value-based care model and align with GAAP
  • Coordinate with the Chief Actuary to record and report changes in medical expense, IBNR, revenue, or accounts receivable and provide supporting analysis when necessary
  • Lead and mentor the members of the accounting team responsible for medical margin
  • Work closely with other members of the finance and accounting team in matters related to policies, procedures, and the control environment
  • Coordinate the settlement process between the ArchWell Finance team and payors as necessary, with support from the Chief Actuary and VP Controller

 

Required Skills/Abilities:

  • Healthcare industry experience required, with preference for value-based care, managed care or population health finance
  • Proficiency in ERP systems, with NetSuite experience preferred, and strong excel skills
  • Excellent communication and leadership skills, with proven ability to collaborate cross-functionally and influence at all levels
  • Experience with accounting for risk-based contracts, including capitation and shared savings models
  • Strategic thinker with excellent analytical, critical thinking, problem-solving, interpersonal, and relationship building skills

 

 

Minimum Qualifications:

  • Bachelor’s degree in accounting, finance, or related field; MBA or MACC preferred; CPA preferred
  • 7 years of progressive accounting experience with a minimum of 2 years in a leadership role
  • Healthcare industry experience required, with preference for value-based care, managed care or population health finance

 

    • Embodies and serves as a role model of ArchWell Health’s Values:
    • Be compassionate
    • Strive for excellence
    • Earn trust
    • Show respect
    • Stay resilient
    • Always do the right thing

 

About ArchWell Health:

 

At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.

Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.

 

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

 

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