Interim Director of Medical Cost Accounting

A rapidly growing healthcare organization is seeking an Interim Director of Revenue & Cost Accounting to lead the accounting operations and financial reporting activities related to revenue and medical costs within a Medicare Advantage and managed care environment. This leadership role will oversee month-end close, regulatory reporting, audit support, financial analysis, and process improvement initiatives while leading a team of accounting professionals. This position partners closely with FP&A, Actuarial, Operations, Claims, Pharmacy, Contracting, and Compliance teams to ensure accurate financial reporting, regulatory compliance, and support strategic growth initiatives. Key Responsibilities Lead monthly, quarterly, and annual close processes for revenue and medical cost accounting. Oversee preparation of financial statements and management reporting packages. Ensure accuracy of journal entries, account reconciliations, variance analyses, and supporting documentation. Manage accounting for: Medicare and Medicaid premiums Member premiums Medical claims IBNR reserves Provider capitation Risk-sharing settlements and incentives Pharmacy expenses and other medical costs. Lead statutory and regulatory financial reporting efforts, including interactions with healthcare regulatory agencies and insurance regulators. Support audits, regulatory examinations, and compliance initiatives. Partner with FP&A on budgeting, forecasting, and financial performance analysis. Qualifications Bachelor’s degree in Accounting. Active CPA certification preferred 10+ years of progressive accounting and finance experience. 5+ years of health plan, managed care, or health insurance accounting experience. Strong knowledge of GAAP, financial reporting, account reconciliations, and regulatory compliance. #J-18808-Ljbffr Vaco Recruiter Services