Accounting Manager - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Care At Home ('CAH') is an integrated care delivery provider, managed by a comprehensive interdisciplinary team focused on delivering high-touch, community-based support directly in the homes of our most fragile, medically complex, and costly populations. Our approach is designed to reduce friction for members by addressing their physical, mental, and social needs according to their personal care preferences and the location they desire for care.

We currently serve over one million members across more than 17 markets. One of the unique features of our model is the introduction of a care navigator to each member. The care navigator acts as the ""quarterback"" of the care team, with a primary focus on connecting members to doctors, coordinating care needs-including member benefits-and ensuring members receive their annual comprehensive visit. They also link members with local resources such as transportation, home health, and food assistance, identify Stars gaps and help facilitate closure, and support UHC sales agents.

The Accounting Manager is responsible for leading critical revenue and membership accounting functions across complex healthcare arrangements, including Medicaid, Medicare Advantage (DSNP/CSNP), and ACO contracts. This role oversees key components of the monthly close, ensures compliance with revenue recognition standards, manages high‑risk balance sheet accounts, and partners cross‑functionally to support accurate financial reporting and forecasting. In addition to technical accounting ownership, this role provides leadership, guidance, and oversight to accountants supporting revenue and close activities, while driving process improvement and consistency across reporting cycles.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Oversee assigned portions of the monthly, quarterly, and annual close, ensuring accuracy, completeness, and timely execution    
• Review and approve complex journal entries, including:
  • Medicaid and Medicare revenue and membership
  • ECAP revenue, withholds, eligibility, and payment adjustments
  • ACO membership and revenue accruals and multi‑year true‑ups
  • RAF accruals (current, EOL, and Final)
  • Management fee, admin fee, and specialty revenue entries
• Ensure alignment of revenue and membership across RAM, ECAP, and UHC reporting    
• Own oversight of high‑risk reconciliations, including revenue, AR, eliminations, and intercompany accounts    
• Review variance analyses, challenge assumptions, and ensure timely issue resolution    
• Ensure compliance with SOX and internal control standards; maintain high‑quality, audit‑ready documentation    
• Serve as a primary point of contact for internal and external audit inquiries related to revenue and close activity    
• Review and approve key reporting deliverables, including:    
  • Revenue Recognition Tracker
  • Statement of Net Assets
  • Cash flow commentary, forecasts, and best estimates
  • Quarterly asset reviews
• Partner with FP&A on forecasting, trend analysis, and variance explanations    
• Provide insights to leadership on revenue drivers, risks, and emerging issues    
• Provide day‑to‑day leadership, coaching, and oversight to accountants supporting revenue and close operations    
• Partner closely with Finance, FP&A, Actuarial, Operations, and Consolidations teams to resolve issues, validate estimates, and support reporting requirements    
• Act as a subject‑matter expert for healthcare revenue and membership accounting within CAH    

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Bachelor's degree in accounting
• 5+ years of accounting experience
• Advanced Excel and data analysis skills
• Prior experience leading or reviewing complex close areas
• Proven ability to manage competing priorities in a deadline‑driven environment

Preferred Qualifications:

• CPA 
• Accounting and finance systems experience - PeopleSoft, SmartView / Essbase
• SOX and audit leadership experience
• Excellent written and verbal communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.