Manager Finance

Medica Services Company LLC; Minnetonka (MN); On-site; USD 100,000 - 172,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

PTO

Job summary

Medica is a nonprofit health plan serving communities in Minnesota and surrounding states. This role leads medical expense month-end close for the Fully-Insured Medica Legacy business, ensuring accuracy of claims, accruals and related forecasting.

Responsibilities include regulatory filings, cost reporting, and analytics support while guiding team members. Office-based, with 3 days onsite per week in Minnetonka, MN or Madison, WI. Competitive compensation and benefits apply.

Qualifications

• Bachelor's degree in related field or equivalent experience.
• 6 years of experience in relevant area.
• On-site role: three days per week in Minnetonka, MN or Madison, WI.

Responsibilities

• Lead monthly close for Fully-Insured Medica Legacy business, including claims and accrual accuracy.
• Monitor weekly claim cycles and reconcile claim movements.
• Support DHS data requests, Medicare cost reporting, and audits.
• Provide SME for GL migration and platform migrations.
• Conduct regular team leadership meetings and coaching.

Skills

Analytical skills

Education

Bachelor's degree

Job description

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.

POSITIONSUMMARY

Lead medical expense month-end close forFully-InsuredMedica Legacy business, including claims and accrual accuracy, COB Rawlings recoveries, Plan-to-Plan and MDP/CGDP processing, Medicare Cost reporting, and MedicaidLegacyquarterlydatasubmissions.Thisrolerequiresstronganalyticalskills,attentiontodetail,andthe ability to manage complex financial processes while leading and developing team members.

ESSENTIALDUTIESANDRESPONSIBILITIES

Claims&MedicalExpenseManagement

• Monitorweeklyclaimscyclesandtrendstoidentifyvariancesandensuretimelyprocessing
• Prepareandpostmonth-endjournalentriesforclaimsactivity,includingpaidclaims,interest,IBNR, and claim reserves
• Reconcileandclearclaimsclearingaccountmonthly;investigateandresolvetimingorsystem-related
• Reconcilemedicalexpensemovementstoactuarialprojections;analyzeandexplainvariances
• RetrieveCMSPlan-to-Planfiles,reviewpaymentcalculations,ensureattestationsarecompleted
• ProcessManufacturerDiscountProgram(MDP)andCGDPpayments,projections,andaccruals
• Createintercompanypayables
• Adjustnon-claimsexpensesforinvalidProduct/Unit/DOS/Locationcombinations

RegulatoryCompliance&Filings

• SupportDHSDataRequestpreparationandMLRFilingsubmissions
• SupportMedicareCostReportpreparationincludingAnnualFiling,InterimCostReports,Budget and Preliminary Models
• Provideaudit supportandanalytics

Systems & ProcessImprovement

• Provide subject-matter expertise for GL migration activities including requirements clarification, data validation, parallel testing, and reconciliation of legacy vs new GL outputs
• Supportplatformmigrationinitiativesincludingtestingandissueresolution

Leadership&TeamDevelopment

• Conductregularone-on-onemeetingsforteamleadershipandcoaching
• Participateinteammeetings,leadershipforums,andorganizationalevents

Required Qualifications

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

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.

The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US:

Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Qualifications

Skills

Behaviors

Motivations

Education

Experience

Licenses & Certifications

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.