Remote (Global)

Guidehealth is hiring a Director of Accounting Operations

About the Role

Guidehealth is seeking a Director of Accounting Operations to lead our business operations finance team. In this strategic and highly visible role, you will oversee all client-facing accounting, reporting, and key corporate finance functions, requiring regular interaction with clients, corporate staff, and internal stakeholders.

What You'll Do

  • Deliver high-quality financial services to multiple clients in line with contracts, maintaining accurate accounting records and providing timely financial statements and analysis.
  • Assist clients with annual budgets and report performance against targets.
  • Oversee client-related operations including claim processing, funding, 1099s, cash management, and subrogation recoveries.
  • Execute delegated financial transactions in compliance with contractual requirements and support client contract development to ensure proper financial service treatment and invoicing.
  • Document revenue recognition in compliance with ASC 606 and oversee invoicing for Guidehealth services and reimbursable expenses.
  • Ensure timely cash posting and follow up on outstanding receivables, collaborating with corporate accounting and escalating issues as needed.
  • Hire, train, and develop team members; set goals, delegate tasks, provide coaching, and ensure backup for key roles.
  • Build strong internal and external client relationships.
  • Implement and monitor policies and internal controls over assets and financial information.
  • Lead audits of Guidehealth and client financial statements and escalate compliance risks as appropriate.
  • Ensure the SAGE financial system meets business needs and maintain system integrity.
  • Collaborate with IT and Business Operations to integrate financial systems with platforms like Eldorado and identify opportunities to streamline and enhance finance infrastructure.

What We're Looking For

  • Bachelor’s degree in Accounting, Finance, or a related field.
  • 10+ years of progressive accounting and reporting experience.
  • Deep experience in healthcare finance, specifically within a payer or health system.
  • 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 like QuickBooks and financial reporting tools.
  • Advanced proficiency in Microsoft Excel, Word, and PowerPoint.
  • Strong process improvement and systems optimization skills with the ability to leverage technology for scale.

Nice to Have

  • CPA strongly preferred.
  • Public accounting experience a plus, such as from a Big 4 or mid-tier firm.

Technical Stack

  • SAGE financial system
  • Eldorado platform
  • Microsoft Excel
  • Microsoft Word
  • Microsoft PowerPoint
  • QuickBooks

Team & Environment

You will lead the business operations finance team.

Benefits & Compensation

  • Compensation: $140,000.00 to $150,000.00 annually
  • Comprehensive Medical, Dental, and Vision plans
  • 401(k) plan with a 3% employer match to your 6% contribution
  • Life and Disability insurance
  • Voluntary Life options
  • Employee Assistance Program (EAP)
  • Paid time off plans
  • Paid parental leave
  • Resources dedicated to learning and development

Work Mode

This is a fully remote position with a global work mode.

We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Required Skills
SAGE financial systemEldorado platformMicrosoft ExcelMicrosoft WordMicrosoft PowerPointQuickBooksAccounting OperationsFinancial ManagementProcess ImprovementTeam LeadershipComplianceFinancial ReportingBudgetingStakeholder Management
Ready to relocate and code from paradise?

Thailand or Vietnam — your office, your rules

Iglu offers relocation to Bangkok, Chiang Mai, Ho Chi Minh City, or Hong Kong. Full employment, legal setup, and a community of 200+ digital professionals.

Relocation to 5 countries
Full legal work setup
Developer community access
Work-life balance culture
Explore locations
Relocation support included
About company
Guidehealth

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. It leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization, powered by AI and predictive analytics, to build stronger connections with patients and providers.

Visit website
Job Details
Category management
Posted 3 months ago