Accounting Manager

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.

Senior Community Care ('SCC') is designed to support senior living communities to provide care for their residents. 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.

SCC currently serves over 900 senior living communities and 5,000+ IE-SNP members. 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 and Medicare Advantage (IE-SNP/ISNP). 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 a Senior Accountant 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. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

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
  • 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:
  • Statement of Net Assets
  • Cash flow commentary, forecasts and best estimates
  • Quarterly asset reviews
• 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
• Provide insights to leadership on revenue drivers, risks and emerging issues
• Act as a subject-matter expert for healthcare revenue and membership accounting within SCC
• Partner with FP&A on forecasting, trend analysis, and variance explanations

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
• Proven excellent written and verbal communication skills
• Proven advanced Excel and data analysis skills
• Experience leading or reviewing complex close area
• 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

*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 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.