Accounting Manager, Medical Margin
ArchWell Health • Remote • Full Time
Posted on Fri, Aug 21, 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.
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $103,000–$134,000 per year (median ~$120,000). This is an AuditFriendly estimate, not an employer-provided figure.
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