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Accounting Manager, Medical Margin

Manage medical margin financial close for accurate revenue and expense reporting

The Accounting Manager, Medical Margin will manage the daily operations of the medical margin accounting function, including reviewing journal entries and balance sheet reconciliations. They will drive continuous improvement in the close process and collaborate cross-functionally with Actuary, IT, Med Econ, Finance, and other departments to analyze payor healthcare data and perform end-to-end payor reconciliations. This role supports accurate ...

Why This Role?

Collaborate cross-functionally with Actuary, IT, Med Econ, Finance, and other departments on payor data and reconciliations

Key Responsibilities

  • Manage the medical margin financial close and drive timely and accurate reporting of revenue and medical expenses
  • Review journal entries and balance sheet reconciliations for the medical margin accounting function
  • Collaborate cross-functionally with Actuary, IT, Med Econ, Finance, and other departments to analyze payor healthcare data and perform end-t
  • Assist with the settlement process between ArchWell Health and payors as necessary
  • Reconcile the general ledger to underlying sources and develop methods and tools to provide analytical insight
  • Support the build-out and maintenance of Med Margin-related accounting memos, policies, and procedures in accordance with GAAP

Requirements

  • Experience managing financial close processes
  • Experience reviewing journal entries and balance sheet reconciliations
  • Experience collaborating cross-functionally with finance and healthcare departments
  • Knowledge of GAAP and internal controls
  • Experience with payor data analysis and reconciliation processes
  • Ability to develop and implement process improvements

Required Skills

accountingfinancial-reportingteam-managementprocess-improvementcross-functional-collaborationfinancial closejournal entry reviewbalance sheet reconciliationcross-functional collaborationGAAP complianceprocess improvement

Indonesia Context

Working Hours Overlap:
Flexible — work your own hours
See remote (USD) vs local pay →
View Original Description from HimalayasShow more

Original description from Himalayas

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities. Job Summary: ArchWell Health is seeking an Accounting Manager, Medical Margin to play an integral role in the Accounting department at our rapidly growing company. This position will be responsible for managing the daily operations of the medical margin accounting function and driving continuous improvement in the close process. This position will work closely and collaboratively with various departments across the company to ensure accurate and timely financial reporting. Duties/Responsibilities: Manage the medical margin financial close and drive the timely and accurate reporting of revenue and medical expenses Manage the day-to-day activities of the medical margin accounting function, including reviewing journal entries and balance sheet reconciliations Manage and develop a team of accounting professionals, providing guidance, support, and coaching Foster a culture of collaboration and high performance Evaluate current accounting processes and develop and implement new processes to improve the efficiency and effectiveness of the medical margin accounting function Collaborate cross-functionally 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 Act as a point of contact for the Accounting department as it pertains to payor data and reconciliations Assist with the settlement process between ArchWell Health and payors, as necessary Reconcile the general ledger to the underlying sources and develop methods and tools to provide analytical insight Manage and support with the build-out of med margin-related process documentation Assist with the build-out and maintenance of Med Margin-related accounting memos, policies, and procedures in accordance with GAAP Support with the development and maintenance of internal controls Contribute to the financial reporting process and coordinate with other Finance leaders to produce high quality financial reporting and analysis Support with interim and annual audits Serve as a resource and partner to cross-functional leaders, providing data and reports as requested Ad-hoc projects and initiatives Required Skills/Abilities: 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 with the ability to interpret and communicate findings and insights Advanced proficiency in Microsoft Excel Self-starter with the ability to work both independently and cross-functionally to achieve objectives Detail-oriented with strong judgment, analytical, problem solving, and critical thinking skills, with 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 Ability to multi-task with strong organizational skills Effective communicator, able to present information clearly to internal stakeholders Education and Experience: Bachelor’s degree in accounting, or related field; MBA or advanced degree preferred Minimum of 7 years of progressive accounting experience, including time in a leadership role Healthcare experience required, value-based care experience preferred CPA designation strongl

Salary Context

Similar Finance & Accounting roles on LokerDollar pay around $200k/yr (range $2.9k–550k/yr, n=55 active listings).

Hiring at ArchWell Health

ArchWell Health has 2 other active roles on LokerDollar and has been hiring here since Oct 8, 2026 — across Finance & Accounting, Product.

View all ArchWell Health openings →

Market context

  • ESTIMATEEstimated pay is 5% below the role median of $200,000/year (n=55 pay-disclosing listings).
  • VERIFIEDArchWell Health: 3 postings in the last 3 months, 3 all-time on LokerDollar.
  • VERIFIEDCompany first seen Oct 8, 2026.
  • VERIFIEDThis listing first seen Oct 8, 2026.
  • VERIFIEDLast verified live Oct 8, 2026.

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Not an application form — This link goes to a listing page, not the employer's application form.

Remote-friendly · fits your timezone
Source
Estimated salary
$175k–205k/yr
Based on similar roles — not stated by the employer
Job Type
full time
Location
Remote · St. Louis, USA
Seniority
senior
PostedFreshNew & verified
Oct 8, 2026

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Frequently asked questions

Is Accounting Manager, Medical Margin at ArchWell Health a remote job?
Yes. Accounting Manager, Medical Margin at ArchWell Health is a fully remote role open to candidates worldwide.
What type of employment is Accounting Manager, Medical Margin at ArchWell Health?
This is a full time position.
How do I apply?
Click the "Apply" button on this page to go to the official application at ArchWell Health.

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