Senior Director, Accounting
Wellvana Integration Partners • Nashville, Tennessee • Full Time
Posted on Thu, Oct 1, 2026
The Why Behind Wellvana:
The healthcare system isn’t designed for health. We’re designed to change that. We’re Wellvana, and we help doctors deliver life-changing healthcare.
Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it.
Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.
Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing.
Named 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.
Clarity on the Role:
Wellvana is looking for a Sr. Director of Accounting to lead revenue accounting, technical accounting, and the financial reporting process. The Sr. Director of Accounting will report to the VP, Accounting & Controller, and will focus on technical accounting guidance, preparing financial statements, and developing internal controls.
What's Expected:
- Technical Accounting / Financial Reporting
- Lead the annual audit engagement with outside auditors
- Research and write technical accounting memos and provide technical accounting guidance
- Preparation of financial statements and workbook for executive leadership team including footnotes, MD&A, and disclosures
- Assist with external tax team requests and filings
- Develop and execute SOX controls along with internal controls over financial reporting
- Research and implement new accounting standards and other financial reporting guidance
- Build accounting process narratives and control matrix
- Develop automation around the financial statement workbook and Word document
- Review monthly balance sheet account reconciliations
- Valuation testing for goodwill / intangible impairments, long-lived asset impairments, share-based award valuation, and business acquisitions / divestitures
- Stay informed about changes in accounting regulations and industry best practices
- Revenue Accounting
- Review payor contracts and translate to revenue accruals on a monthly basis – determine partial risk versus full risks practice changes and track the economics`
- Maintain and update financial modeling data behind the accrual file – partner with FP&A
- Own and automate the practice payments and earnings (net profit of loss) waterfall on a TIN basis for physician compensation
- Perform ASC 606 testing review for compliance with standard
- Focus on process improvements for entire revenue cycle
- Maintain all of the shared savings / VBC receivable, partner & provider advances, accrued shared savings payable, and payor and partner payables account roll-forwards for multiple years
What's Required:
Education
- Bachelor’s degree in accounting, finance, business administration, or related field
Certifications
- Certified Public Accountant (CPA) strongly preferred
Years of Related Experience
- 10+ years of progressive financial and technical accounting experience
- Some public accounting experience required
Skills/Competencies/Behaviors
- Deep understanding of GAAP, regulatory compliance, financial reporting, and internal controls
- Expert with accounting software and Microsoft Excel
- High level of integrity and professionalism
- Experience managing and prioritizing overlapping deadlines in a fast-paced environment
- Strong interpersonal and relationship building skills to support collaboration at all levels of the organization
- Ability to partner with executive stakeholders (CFO, CEOs, operational leaders) to align financial oversight with corporate goals
- Excellent written, verbal, and presentation skills
- Healthcare experience preferred
- Big 4 experience preferred
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What the data says about this job
- Advertised pay for Director of Accounting: a median of $165,000 across 987 priced postings. Explore the market
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