Director of Accounting Operations

Company: Guidehealth
Location: Louisville
Posted on: February 16, 2026

Job Description:

Job Description Job Description Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job Description As a Director of Accounting Operations , you will lead the business operations finance team and oversee client-facing accounting, reporting, and key corporate finance functions. This strategic and highly visible role involves significant client and corporate responsibilities, requiring regular interaction with clients, corporate staff, and internal Guidehealth stakeholders. WHAT YOU’LL BE DOING Client Financial Services Deliver high-quality financial services to multiple clients in line with contracts. Maintain accurate client accounting records and provide timely financial statements and analysis. Assist clients with annual budgets and report performance against targets. Oversee client-related operations such as claim processing, funding, 1099s, cash management, and subrogation recoveries. Execute delegated financial transactions in compliance with contractual requirements. Revenue, Billing & Accounts Receivable Support client contract development to ensure proper financial service treatment and invoicing requirements. Document revenue recognition in compliance with ASC 606. Oversee invoicing for Guidehealth services and reimbursable expenses. Ensure timely cash posting and follow up on outstanding receivables. Collaborate with corporate accounting and escalate issues as needed. Team Leadership Hire, train, and develop team members; set goals and delegate tasks. Provide coaching and ensure backup for key roles. Build strong internal and external client relationships. Internal Controls & Compliance Implement and monitor policies and internal controls over assets and financial information. Lead audits of Guidehealth and client financial statements. Escalate compliance risks as appropriate. System Management Ensure SAGE financial system meets business needs and maintain system integrity. Collaborate with IT and Business Operations to integrate financial systems with platforms like Eldorado. Identify opportunities to streamline and enhance finance infrastructure. Qualifications WHAT YOU’LL NEED TO HAVE Bachelor’s degree in Accounting, Finance, or related field required; CPA strongly preferred. 10 years of progressive accounting and reporting experience; public accounting experience a plus (Big 4 or mid-tier firm). Deep experience in healthcare finance (payer or health system), including: Benefit plan design Health plan administrative operations Value-based care Payer/provider contracting Capitation and fee-for-service payment models Medical cost reserves (IBNR) and reinsurance Risk-sharing arrangements 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 (QuickBooks) and financial reporting tools. Advanced proficiency in Microsoft Excel, Word, and PowerPoint. Strong process improvement and systems optimization skills; ability to leverage technology for scale. WHO YOU ARE A values-driven leader who fosters trust, collaboration, and operational excellence. Highly organized and detail-oriented, with the ability to meet internal and client expectations for timing and quality of deliverables. Proactive problem-solver who addresses issues before they escalate. Skilled at building credible, collaborative relationships with internal and external stakeholders. Additional Information The base pay range for this role is between $140,000.00 to $150,000.00 annually ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. We are Driven by A ccountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike. Always Growing, Always L earning — staying curious and continuously improving inspires us to shape a better future for healthcare. With Collaborative I nnovation, we solve problems creatively, making every experience better for our employees and the patients we serve. At Guidehealth, Every V oice Matters — we believe our collective strength is rooted in the unique perspectives of each team member. And through E mpathy in Action, we build stronger connections with those who count on us. This is what it means to be ALIVE with purpose. This is how we thrive — together — at Guidehealth. BENEFITS: All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs. Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered. Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution. Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected. Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times. Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals. Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. 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. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.

Keywords: Guidehealth, Lexington , Director of Accounting Operations, Accounting, Auditing , Louisville, Kentucky