Support the end-to-end financial planning, controls, and reporting for the implementation of a new TPA-administered claims platform. Partner with Finance, Actuarial, Claims Operations, IT and the TPA to design and validate financial data flows, ensure accuracy of claims and accruals, establish controls, and enable timely, insightful reporting. Own financial readiness, cutover validation, and post-go-live performance monitoring Perform other duties as assigned.
Key Accountabilities- Lead financial data validation for new TPA claims platform migration
- Detailed attribute testing of data and reports in collaboration with other departments
- Implement and maintain claims data quality by collecting, monitoring, and creating financial models to support strategic decision-making
- Build and execute month-end reconciliation routines
- Develop and document processes and procedures to analyze results, monitor variances and identify trends
- Translate business requirements into financial and reporting requirements (e.g., ledger impacts, subledger mapping, accrual logic)
- Audit and regulatory filing support for internal and external auditors
- Special projects & ad hoc reporting
Required Qualifications- Bachelor's degree or equivalent experience in a related field
- 5 years of work experience beyond the degree
Preferred Qualifications- Health Insurance industry experience with a working knowledge of claims processes
- Experience with data quality checks in cross-functional implementations with clients/TPAs, including stakeholder management with Finance, Actuarial, Claims Operations, IT, Compliance and Treasury
- Advanced Microsoft Excel - excellent analytical and quantitative skills
- Ability to analyze financial data and generate reports
- Experience with internal and external audits, including GAAP knowledge
- Attention to detail, ensuring accuracy in financial reporting
- Critical thinking with advanced problem-solving skills in a fast-paced environment
- Managing multiple tasks and deadlines efficiently
- Communicate effectively and professionally
- Knowledge of Microsoft Suite
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 $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. 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 compensation, 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.
