Accounting Manager, Medical Margin

ArchWell Health•Nashville, TN

About The Position

ArchWell Health is seeking an Accounting Manager, Medical Margin to manage the daily operations of the medical margin accounting function and drive continuous improvement in the close process. The role works collaboratively with departments across the company to support accurate and timely financial reporting. The manager also leads and develops accounting professionals and serves as a resource to cross-functional leaders on payor data, reconciliations, and reporting.

Requirements

  • Deep understanding of technical accounting policies, regulations, financial statements, internal controls, and procedures.
  • Proven experience building and developing processes and procedures with a focus on continuous improvement.
  • Experience in financial and variance analysis, including interpreting and communicating findings and insights.
  • Advanced proficiency in Microsoft Excel.
  • Self-starter able to work independently and cross-functionally to achieve objectives.
  • Detail-oriented, with strong judgment, analytical, problem-solving, and critical-thinking skills and the ability to navigate complex issues and communicate solutions.
  • Ability to work effectively in a fast-paced, dynamic environment and manage multiple priorities and competing deadlines.
  • Strong multitasking and organizational skills.
  • Effective communication skills and the ability to present information clearly to internal stakeholders.
  • Bachelor’s degree in accounting or a related field.
  • Minimum of 7 years of progressive accounting experience, including time in a leadership role.
  • Healthcare experience.

Nice To Haves

  • MBA or advanced degree.
  • Value-based care experience.
  • CPA designation.
  • Experience with Oracle NetSuite.

Responsibilities

  • Manage the medical margin financial close and ensure timely, accurate reporting of revenue and medical expenses.
  • Oversee day-to-day medical margin accounting activities, including reviewing journal entries and balance sheet reconciliations.
  • Manage, develop, guide, support, and coach a team of accounting professionals.
  • Foster a culture of collaboration and high performance.
  • Evaluate accounting processes and implement improvements to the efficiency and effectiveness of the medical margin accounting function.
  • Collaborate with Actuary, IT, Med Econ, Finance, and other departments to analyze payor healthcare data and perform end-to-end payor reconciliations to improve data accuracy.
  • Serve as the Accounting department's point of contact for payor data and reconciliations.
  • Assist with the settlement process between ArchWell Health and payors as necessary.
  • Reconcile the general ledger to underlying sources and develop methods and tools that provide analytical insight.
  • Manage and support the development of medical margin process documentation.
  • Assist with developing and maintaining medical margin accounting memos, policies, and procedures in accordance with GAAP.
  • Support the development and maintenance of internal controls.
  • Contribute to financial reporting and coordinate with Finance leaders to produce high-quality financial reporting and analysis.
  • Support interim and annual audits.
  • Partner with cross-functional leaders and provide requested data and reports.
  • Work on ad hoc projects and initiatives.
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