Babylon is one of the world’s fastest-growing digital healthcare companies whose mission is to make high-quality healthcare accessible and affordable for every person on Earth. 
Babylon is re-engineering how people engage with their care at every step of the healthcare continuum. By flipping the model from reactive sick care to proactive healthcare through the devices people already own, it offers millions of people globally ongoing, always-on care. Babylon has already shown that in environments as diverse as the developed UK or developing Rwanda, urban New York or rural Missouri, for people of all ages, it is possible to achieve our mission by leveraging our highly scalable, digital-first platform combined with high quality, virtual clinical operations to provide integrated, personalized healthcare.
This position is with Meritage Medical Network (part of the Babylon family). It is strongly preferred that you be based onsite with the team in Petaluma, CA but we will consider remote working (US) for the right person.

We are seeking a Director of Accounting, to be responsible for all end to end accounting and financial reporting processes relating to our Direct Contracting, California Commercial, MediCal, and Medicare Advantage managed care revenue and healthcare costs streams (currently around $425M annually and increasing).

Reporting to our Global Controller and partnering with the CEO of our California Healthcare business, you will be responsible for designing and executing SOX-compliant processes, establishing monthly contract reporting cadences, developing robust accounting estimates relating to variable revenue elements, and collaborating with the managed care finance team on revenue projections.



  • Designing and implementing SOX-compliant controls relating to the monthly revenue and healthcare costs process, including membership analysis, comparison of capitation amounts to contracts, month-end reconciliations, medical claims analysis and journal entry processes
  • Being the subject matter expert on the underlying contracts, influencing forward-looking revenue projections, negotiating contractual revenue risk and quality adjustments, and identifying areas of future revenue contract optimization
  • Documenting judgmental positions relating to the application of ASC 606 to the underlying revenue contracts and performing annual Premium Deficiency Reserve (PDR) assessments
  • Partnering with internal and external actuaries to determine reasonable estimation approaches for claims expenses incurred but not reported
  • Driving automation initiatives to enhance the pace and accuracy of data transfers relating to membership numbers, membership claims and pricing
  • Partnering effectively across the global accounting team and with FP&A and commercial team individuals involved in forecasts and contracting negotiations
  • Reviewing existing accounting policies, procedures, and operational strategies, implement improvements and establishes new ones as necessary  
  • Assisting in coordinating with external auditors and preparing audit schedules and other necessary documents to support both Global (SEC) and local regulatory (DMHC) reporting requirements
  • Coordinating and supporting Senior Accountants’ daily tasks
  • Assisting with special projects as assigned
  • Revenue Enhancement / Recoveries:
    • Stop-loss / reinsurance
    • Ensure claims are filed with reinsurance carriers and claims reaching thresholds are received
  • Risk factors experience:
    • Audits of risk pool reports
    • Ensures claims submitted to maximize risk adjusted factor (RAF) institutional portion risk pool revenue



  • 7+ years of professional experience working in an accounting capacity requiring knowledge and use of US GAAP and accounting skills, especially relating to ASC 606
  • CPA or CFA qualification
  • 5 years+ in a healthcare environment: e.g. management service organizations, independent physicians associations, medical groups, health plans
  • Familiarity with healthcare revenue contracts, healthcare accounting and medical claims estimates would be ideal but is not essential (knowledge of California DMHC regulatory requirements is a bonus)
  • Management experience is strongly preferred
  • Experience with a combination of NetSuite, Ivalua, G Suite platform, and Excel and Power BI would be advantageous 
  • Highly analytical with the ability to evaluate complex accounting and financial data with limited supervision


  • Competitive salary
  • New Hire Company Stock Grants (RSU)
  • Refresh Company Stock Grants (RSU)
  • Unlimited PTO
  • Excellent Medical, dental and vision plans
  • Access to flexible spending account and health savings account 
  • Competitive retirement plan
  • Flexible working hours
  • Weekly remote yoga sessions
Whether you work in one of our amazing offices or a distributed team, Babylon is highly collaborative and fun! You’ll have a chance to work in a fast-paced environment with experienced industry leaders. We have a learning environment where you can make an impact.
We are a team on a mission, to put accessible and affordable healthcare in the hands of every person on earth. Our mission is bold and ambitious, and it’s one that’s shared by our team who shares our values, to dream big, build fast and be brilliant. To achieve this, we’ve brought together one of the largest teams of scientists, clinicians, mathematicians and engineers to focus on combining the ever-growing computing power of machines, with the best medical expertise of humans, to create a comprehensive, immediate and personalized health service and make it universally available.
At Babylon our people aren’t just part of a team, they’re part of something bigger. We’re a vibrant community of creative thinkers and doers, forging the way for a new generation of healthcare. We’re only as good as our people. So, finding the best people is everything to us. We serve millions, but we choose our people one at a time…
We believe that difference inspires a better, healthier world. That’s why it’s at the heart of everything we do. From our people to our products, difference enriches every part of our business and creates a culture based on equality of opportunity, and in which all Babylonians can progress their careers. We’re committed to creating an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, colour, religion, sex, pregnancy status, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information, and any other characteristic protected by applicable law.

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