Manager Finance

Medica•Madison, WI

12d•$100,300 - $172,000•Hybrid

About The Position

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. Analyze financial data by collecting, monitoring and creating financial models for decision support. Improve financial status by analyzing results; monitoring variances; identifying trends; recommending actions to management. Assist with annual and quarterly forecasting. Performs other duties as assigned. POSITION SUMMARY Lead medical expense month-end close for Fully-Insured Medica Legacy business, including claims and accrual accuracy, COB Rawlings recoveries, Plan-to-Plan and MDP/CGDP processing, Medicare Cost reporting, and Medicaid Legacy quarterly data submissions. This role requires strong analytical skills, attention to detail, and the ability to manage complex financial processes while leading and developing team members.

Requirements

Bachelor's degree in related field or equivalent experience
6 years of experience
Prior supervision experience

Responsibilities

Monitor weekly claims cycles and trends to identify variances and ensure timely processing
Prepare and post month-end journal entries for claims activity, including paid claims, interest, IBNR, and claim reserves
Reconcile and clear claims clearing account monthly; investigate and resolve timing or system-related issues
Develop, review, and validate IBNR estimates and claim reserves for month-end close
Reconcile medical expense movements to actuarial projections; analyze and explain variances
Retrieve CMS Plan-to-Plan files, review payment calculations, ensure attestations are completed
Record resulting receivables/payables and cash impacts in the GL
Process Manufacturer Discount Program (MDP) and CGDP payments, projections, and accruals
Create intercompany payables
Maintain appropriate reserves for vendor payments
Adjust non-claims expenses for invalid Product/Unit/DOS/Location combinations
Support DHS Data Request preparation and MLR Filing submissions
Support Medicare Cost Report preparation including Annual Filing, Interim Cost Reports, Budget and Preliminary Models
Provide audit support and analytics
Prepare Reconciliation to Actuarial Triangles, Redundancy Schedules, Claims Rollforward, and Medical Expense
Provide subject-matter expertise for GL migration activities including requirements clarification, data validation, parallel testing, and reconciliation of legacy vs new GL outputs
Support platform migration initiatives including testing and issue resolution
Promote financial data enhancements and resolve system-related issues
Conduct regular one-on-one meetings for team leadership and coaching
Participate in team meetings, leadership forums, and organizational events