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Flex Accounting Manager, Remote – Arlington, VA / Remote, United States

  • Full Time
  • USA only (Remote)
  • Posted on January 24, 2026
Aledade

Aledade

Accounting

Aledade is actively recruiting a Flex Revenue Accounting Manager to oversee and review the accounting for CMS ACO Flex program. The Manager will be responsible for reviewing and approving the senior accountant’s work in calculating and preparing all entries for the revenue and practice payments. The ideal candidate has prior supervision experience, a strong understanding of revenue cycle management, is able to work independently, and is fluent with U. S. GAAP, demonstrates excellent critical thinking skills and is technologically savvy.

We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US or be based from Bethesda, MD office.

Primary Duties:

Manage the accounting process for ACO Flex, including managing the IBNR accruals and fee for service payments.

Partner with internal business partners to determine accounting requirements for recording practice portion expenses.

Review monthly reconciliations prepared by the senior accountant

Supervise Senior accountant by overseeing daily tasks.

Liaise with external Audit requests as needed including reviewing support prepared by the senior accountant

Minimum Qualifications:

6+ years of work experience, preferably with experience supporting public companies.

4+ years of related experience working in the healthcare industry (i.e., health plan, hospital, government, management consulting, think tank) with a proven track record of successfully managing projects and interfacing with internal or external stakeholders

1+ years of supervising junior team members

A degree in Finance or Accounting and preferably CPA License

Strong technical and analytical skills

Database and ERP management skills

Netsuite experience preferred.

Preferred knowledge, skills, and/or abilities

A strong work ethic and the ability to adapt to rapid business changes that accompanies a high growth environment.

Outstanding interpersonal and communication skills and a demonstrated ability to work cross functionality at various levels within a company, as well as with external auditors.

Thinks beyond their immediate team and contributes to making Aledade holistically better (active engagement in D&I efforts, culture initiatives, facilitating training, leading roundtables, etc.)

Physical Requirements:

Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.

Who We Are:

Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape – independent primary care. We were founded in 2014, and since then, we’ve become the largest network of independent primary care in the country – helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best – keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society – and if you’re eager to join a collaborative, inclusive and remote-first culture – you’ve come to the right place.

What Does This Mean for You?

At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work – and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

Robust time-off plan (21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

Stock options

And much more!

To apply for this job please visit jobs.lever.co.

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