Demo

Accounting Manager, Medical Margin

ArchWell Health
Nashville, TN Full Time
POSTED ON 9/29/2026
AVAILABLE BEFORE 10/28/2026
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 strongly preferred
  • Experience with Oracle NetSuite a plus

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Salary.com Estimation for Accounting Manager, Medical Margin in Nashville, TN
$133,545 to $161,675
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