Job Summary
Senior Corporate Accountant – Revenue & Regulatory Reporting (Healthcare) | CPA Required | No Direct Reports
Ideal for CPAs looking to exit public accounting (2–4 busy seasons of experience) into a highly specialized, analyticalcorporate role.
The Senior Corporate Accountant provides specialized oversight for regulatory reimbursement and revenue analysis as it pertains to net revenue recognition, accounts receivable valuation, and regulatory compliance for hospitals and other providers. Unliketraditional accounting roles, this position does not focus on month-end close, expense management, or general ledger debits and credits. Instead, you will ensure the accuracy of complex AR reserves and state supplemental funding balances, while managing all aspects of Medicare and Medicaid cost reporting and audits.
The Lifestyle: 100% Remote (or hybrid) with our Nashville team, and zero billable hours.
No Healthcare Experience Required: We will train you on the healthcare nuances.
Essential Functions
Revenue Valuation & Reserve Analysis
Supports a portfolio of hospitals by conducting specialized monthly reviews focused strictly on net revenue, cost report reserves, and the valuation of accounts receivable .
Validates that accounts receivable (AR) reserves and state supplemental balances are accurate and properly stated.
Develops and maintains analytical tools, profitability models, and financial indicator reports to track revenue valuation trends.
Regulatory & Reimbursement Management
Manages the preparation and submission of annual Medicare and Medicaid cost reports, audits, appeals, and reopenings.
Identifies potential reimbursement opportunities, including Medicare geographic reclassification, Disproportionate Share Hospital (DSH) adjustments, and state/local government funding programs.
Monitors legislative and regulatory changes in state Medicaid programs to assess their impact on revenue models.
Communicates directly with Medicare and Medicaid Intermediaries to resolve audit and reporting issues.
Stakeholder Communication & Projects
Manages targeted projects designed to optimize net revenue and ensure regulatory compliance.
Provides high-level operational feedback and decision support to executive management.
Maintains quarterly touchpoints with CFOs to present high-level financial insights (Note: Day-to-day data is highly automated, resulting in minimal routine hospital-level communication).
Qualifications
Education: Bachelor's Degree in Accounting or Finance required.
Experience: 1+ years of recent accounting/auditing experience with a CPA firm required (minimum of 2 busy seasons).
Licenses/Certifications: Certified Public Accountant (CPA) required .
Knowledge, Skills, and Abilities
Analytical Mindset: Exceptional data analysis and problem-solving skills, with a focus on data validation rather than transactional accounting.
Tech-Savvy: Advanced proficiency with Excel; comfortable working within highly automated financial environments.
Communication: Strong verbal and written communication skills for executive-level updates (CFOs) and external regulatory bodies.
Detail-Oriented: Ability to audit complex valuation models and identify anomalies in large data sets.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).
As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.