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…
Skills: Financial modeling, Data analysis, Forecasting, Month-end close, Claims management
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…
Skills: Insurance industry knowledge, Healthcare industry knowledge, Customer service, Problem-solving, Multi-tasking
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…
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…
Skills: Financial analysis, Accounting, Microsoft Excel, Pivot tables, VLOOKUP
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…
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…
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…
Skills: Managed Care Products, Provider Network Administration, Contract Negotiation, Microsoft Word, Microsoft Excel
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…
Skills: Written communication, Verbal communication, Problem-solving, Analytical abilities, Case management
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…
Skills: Healthcare Data Analysis, SQL, Power BI, Tableau, Excel
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…
Skills: Medical Coding, ICD-10, CPT, HCPCS, Claims Auditing
Provider Financial Analyst III - Provider Reimbursement
Minnetonka, Minnesota, United States · Hybrid
$70k–$105k/yr
Senior
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…
Skills: Financial analysis, Provider reimbursement, Contract valuation, Data modeling, SQL
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…
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…
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…
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…
Category Lead - Technology (Sourcing & Vendor Strategy)
Minnetonka, Minnesota, United States · Hybrid
$89k–$152k/yr
Senior+
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…
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…
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…
Skills: Claims Systems, Azure, AWS, Oracle Utilities, Epic Systems
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…
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…
Skills: Quantitative Analysis, Statistical Analysis, Predictive Modeling, Data Visualization, Excel
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$100k–$172k/yr
Full-time
bachelor degree
Medical, Dental, Vision, Paid time off, Holidays, Paid volunteer time off
Posted 9d ago
~40 hrs/week
Responsibilities
The Manager Finance leads medical expense month-end close processes, including claims accuracy, financial reporting, and regulatory filings. They also provide decision support through financial modeling, trend analysis, and team leadership.
Requirements
Candidates must have a bachelor's degree in a related field or equivalent experience, along with at least 6 years of professional experience. Prior supervision experience is required to lead and develop the finance team.
Full 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.
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.
Key Accountabilities
Claims & Medical Expense Management
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
Develop, review, and validate IBNR estimates and claim reserves for month-end close
Reconcile medical expense movements to actuarial projections; analyze and explain variances
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
Regulatory Compliance & Filings
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
Systems & Process Improvement
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
Leadership & Team Development
Conduct regular one-on-one meetings for team leadership and coaching
Participate in team meetings, leadership forums, and organizational events
Required Qualifications
Bachelor's degree in related field or equivalent experience
6 years of experience
Prior supervision 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.
To better your life with care in the moments that matter.
Industry
Insurance
Company size
1,001-5,000 employees
Founded
1975
Headquarters
Minnetonka, MN
LinkedIn followers
46,316
🔹At Medica, we are a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, North and South Dakota and beyond-- we invest back into these communities and are proud of our longstanding relationships built over time there.
🔹Medica's Community Giving Initiatives prioritizes support for early childhood and maternal health programs, food security, and mental health needs.
🔹We have invested millions of dollars and hundreds of volunteer hours to help our non-profit community partners.
🔹In 2021, we formed a joint venture with SSM Health, and through that invested in Dean Health Plan.
🔹Medica and Dean Health Plan, both mission-driven health plans, have significant similarities in our histories, operations, cultures, and deep community commitment.
🔹Our new relationship is driven by technology, a mission driven vision, and innovation.
🔹Together we have an even greater opportunity to support the health care needs of members and patients, and to further enhance our provider relationships.
🔹For more information about Medica, click here: https://www.medica.com/our-story
Offices: 401 Carlson Parkway, Minnetonka, MN 55305, US · 301 Carlson Parkway, Minnetonka, MN 55305, US · 1277 Deming Way, Madison, Wisconsin 53717, US
Health InsuranceHealth PlansMedicareMedicaidHMOand Health PlansHealth CareMedical
To better your life with care in the moments that matter.
Industry
Insurance
Company size
1,001-5,000 employees
Founded
1975
Headquarters
Minnetonka, MN
LinkedIn followers
46,316
🔹At Medica, we are a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, North and South Dakota and beyond-- we invest back into these communities and are proud of our longstanding relationships built over time there.
🔹Medica's Community Giving Initiatives prioritizes support for early childhood and maternal health programs, food security, and mental health needs.
🔹We have invested millions of dollars and hundreds of volunteer hours to help our non-profit community partners.
🔹In 2021, we formed a joint venture with SSM Health, and through that invested in Dean Health Plan.
🔹Medica and Dean Health Plan, both mission-driven health plans, have significant similarities in our histories, operations, cultures, and deep community commitment.
🔹Our new relationship is driven by technology, a mission driven vision, and innovation.
🔹Together we have an even greater opportunity to support the health care needs of members and patients, and to further enhance our provider relationships.
🔹For more information about Medica, click here: https://www.medica.com/our-story
Offices: 401 Carlson Parkway, Minnetonka, MN 55305, US · 301 Carlson Parkway, Minnetonka, MN 55305, US · 1277 Deming Way, Madison, Wisconsin 53717, US
Health InsuranceHealth PlansMedicareMedicaidHMOand Health PlansHealth CareMedical