Director, Revenue Recognition

About Us

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

Position Overview

The Director of Revenue Recognition is a key member of the CFO’s leadership team and serves as the organization’s subject matter expert on all revenue accounting matters. This role oversees the integrity, accuracy, and compliance of the Company’s revenue reporting—both internal and external—and ensures adherence to GAAP, regulatory requirements, and Joint Venture (JV) requirements. The Director partners closely with leaders across Revenue Cycle, Managed Care, IT, FP&A, and the Central Billing Office (CBO) to drive operational excellence, enhance revenue performance, and support strategic decision‑making.

The ideal candidate is a proactive, analytical, and collaborative leader who thrives in a fast‑paced environment. They bring deep technical expertise in revenue recognition, strong business acumen, and a solid understanding of healthcare revenue cycle operations and managed care arrangements. They are a builder—of processes, systems, teams, and insights—and bring a mindset of continuous improvement and intellectual curiosity.

Essential Job Functions

Revenue Recognition & Reporting

• Lead the monthly revenue close process for the Company’s patient revenues across all Joint Ventures, ensuring accurate and timely recognition in accordance with GAAP and ASC 606.
• Provide mid‑month projections to support financial visibility and decision‑making.
• Oversee the use of Workday Prism and Accounting Center to calculate, record, and analyze revenue, including contractual adjustments and accounts receivable reserves.
• Analyze and report on core revenue metrics, including volume, payor mix, acuity, rate, reserves, and gross charges, to deliver clear insights into performance trends.
• Oversee the timely and accurate maintenance of revenue‑related accruals, reserves, and associated balance sheet accounts, ensuring proper documentation, reconciliation, and adherence to GAAP.
• Deliver clear, actionable insights on revenue trends, variances, and KPIs to executive leadership, investors, lenders, and JV partners.

Modeling, Analytics & Data Integrity

• Own the development, enhancement, and governance of revenue models, databases, and analytical tools that support revenue reporting and forecasting.
• Identify emerging issues or negative trends and recommend strategies to optimize collections and maximize revenue realization.
• Maintain a strong accounting and data‑quality control environment to support accurate reporting, forecasting, and model integrity.

Cross‑Functional Leadership & Systems Enablement

• Partner with the CBO, Managed Care, and IT to design and implement systems, tools, and processes that strengthen revenue recognition and AR management.
• Provide GAAP expertise to support new system implementations, process redesigns, and policy development.
• Ensure all revenue‑related systems and processes remain compliant with accounting standards and internal controls.

Strategic Advisory & Technical Accounting

• Advise senior leadership on revenue accounting implications of new business initiatives, JV structures, and strategic partnerships.
• Serve as the organization’s technical accounting expert for revenue recognition, including evaluation and implementation of new accounting pronouncements.
• Prepare GAAP‑compliant revenue footnote disclosures for annual audits and support all revenue‑related audit activities.

Budgeting & Forecasting

• Lead the revenue budgeting and forecasting process for the Company and its Joint Ventures, collaborating closely with FP&A.
• Provide scenario modeling and revenue insights to support strategic planning and operational decision‑making.

Other Job Functions

• Foster a culture of continuous improvement, innovation, and cross‑functional collaboration.
• Support enterprise‑wide initiatives, special projects, and ad hoc analysis as needed.
• Participate in leadership meetings and company‑wide initiatives.
• Lead performance management for direct reports, including annual reviews and professional development plans.
• Perform other duties as assigned.

Basic Qualifications

• Bachelor’s degree in accounting; Master’s degree preferred
• Certified Public Accountant (CPA)
• Minimum 9 years of progressive accounting experience, including at least 5 years in a managerial role.
• Advanced proficiency in data modeling and analytical design, with the ability to build, evaluate, and optimize revenue‑related models
• Advanced proficiency in Microsoft Excel, Word, PowerPoint, and Outlook.

Key Skills

• Excellent people management and leadership capabilities; strong team orientation.
• Strong decision‑making and problem‑solving skills.
• Deep technical accounting expertise with the ability to apply guidance to complex scenarios.
• Ability to communicate complex accounting issues clearly and effectively.
• Strong organizational skills with the ability to manage and prioritize multiple competing tasks while maintaining attention to detail.
• Ability to work effectively under pressure in a fast‑paced environment.
• Ability to manage relationships with internal and external stakeholders, including in remote work settings.
• Highly customer‑focused and results‑oriented.
• Self‑starter with the ability to work independently and collaboratively.
• Strong organizational awareness with the ability to recommend improvements in a rapidly changing environment.

Preferred

• Familiarity with healthcare revenue cycle operations and managed care reimbursement models.
• Experience with Workday Financials, Prism, or similar ERP/reporting tools.
• Big 4 accounting experience