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Lead Accountant - MD Medicaid (Hybrid)

CareFirst BlueCross BlueShield
Baltimore, MD Full Time
POSTED ON 7/9/2026
AVAILABLE BEFORE 8/14/2026
Purpose

Resp & Qualifications

Responsible for a multitude of accounting activities, included but not limited to review of journal entries and reconciliations, the month end close process and audit preparation; analyze balance sheet accounts and resolves accounting discrepancies and irregularities by collecting and analyzing account information; ensures that all deliverables comply with generally accepted accounting principles (GAAP). Contributes to other department and organization special projects as assigned.

Essential Functions

  • Oversee daily accounting operations for government programs (Medicare & Medicaid), including review of premium revenue, medical claims and administrative expenses.
  • Ensure completion and accuracy of monthly, quarterly and annual financial statements.
  • Assist in audit preparation, ensuring compliance with GAAP and STAT accounting principles.
  • Assist accounting staff, provide guidance, training and performance feedback.
  • Cross department collaboration to ensure timeliness of accrual estimates.
  • Verification of general ledger data through review and maintenance of monthly reconciliations/analyses of reported activity to source and/or supporting documentation. The resolution of outstanding issues through research and analysis as well as the initiation of corrective control measures procedural or transactional. Application of analytical accounting software tools and techniques for compiling, integrating and analyzing data, including trending analyses. Providing timely and informative information regarding the status of reconciliations and related projects to management.
  • Review of monthly journal entries. This process requires a thorough understanding of the activity to be recorded as well as proficient analysis of the underlying supporting data ensuring that activity is accurately and correctly recorded.
  • Special projects, as necessary. Will include application of accounting and research techniques toward resolution of outstanding material issues or the implementation of new processes. Advanced analyses and trending of financial information are performed to verify the integrity of data in the financial statements. Interpretation of contractual arrangements and designing the appropriate transactional accounting flow. Answers accounting procedure questions by researching and interpreting accounting policy and regulations. Guides accounting clerical staff by coordinating activities and answering questions.
  • Improves accounting job knowledge by attending educational workshops; reviewing professional and technical publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
  • Strengthen departmental effectiveness through cross-training, documentation of procedures and assistance in responding to audit requests. Assistance and guidance to less experienced staff.

Supervisory Responsibility

Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

Qualifications

Education Level: Bachelor's Degree in Accounting, Finance or relevant field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Preferred

  • Certified Public Accountant (CPA)

Experience: 8 years must include experience in development and maintenance of financial reconciliations and related schedules.

Preferred Qualifications

  • Experience in the health care industry is helpful and accounting certification (CPA).

Knowledge, Skills And Abilities (KSAs)

  • Excellent communication skills, both verbal and written, and the ability to work independently, as well as in a team environment.
  • Problem solving, analytical and financial modeling skills, with exceptional in-depth knowledge of Generally Accepted Accounting Principles (GAAP).
  • Knowledge of PC based applications and Microsoft Office.
  • Multi-tasking ability essential to handle multiple priorities and adjust to changing priorities and requirements in a rapidly evolving organization.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $79,272 - $157,443

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Physical Demands

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

Salary : $79,272 - $157,443

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