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Financial Reconciliation Manager
HuronFinancial Reconciliation Manager specializing in healthcare payer operations and financial reconciliation processes. Collaborating with teams to optimize performance and accuracy across financial systems.
About the role
Key responsibilities & impact- Lead end-to-end financial reconciliation processes across premium billing, and payment workstreams
- Reconcile data across Facets (including 834s) and FRM, and downstream financial systems to ensure consistency and accuracy
- Perform variance analysis to uncover financial leakage, misapplied payments, or configuration-driven errors
- Analyze and support Facets and FRM configuration to ensure financial outcomes align with contract intent
- Partner with configuration and IT teams to troubleshoot financial discrepancies tied to system setup or rule logic
- Ensure alignment between financial reporting outputs
- Ensure reconciliation processes support CMS, Medicare Advantage, and Medicaid financial and reporting requirements
- Support financial validation for risk adjustment and regulatory reporting
- Prepare and review financial data used for audits, compliance checks, and external reporting
- Validate cross-system data to ensure accurate financial reporting and reduce revenue leakage risks
- Develop and implement solutions to improve data quality, reconciliation accuracy, and financial transparency
- Partner with Finance, Actuarial, Enrollment, EDI, and IT teams to resolve reconciliation and reporting issues
- Translate business and financial requirements into clear reconciliation frameworks and system requirements
- Provide strategic guidance to clients on best practices for financial operations and reconciliation processes
- Design and implement automated reconciliation processes and reporting tools
- Support system testing (UAT, regression, validation) to ensure financial accuracy
- Document reconciliation methodologies, controls, and operational procedures
Requirements
What you’ll need- 5+ years working experience within Healthcare Payer Operations
- 5+ years of healthcare payer experience (Medicare and Medicaid)
- 5+ years of experience in financial reconciliation, billing analysis, or payer financial operations
- 5+ years of hands-on experience with Facets (TriZetto), particularly with FRM
- Strong expertise in: Financial workflows, 834 transactions and EDI data structures, Reconciliation processes across premium billing
- Proven ability to: Identify and resolve complex financial discrepancies, Analyze large datasets and perform root cause analysis
- Experience working in a consulting or client-facing environment
- Experience with collaboration & team communication
Benefits
Comp & perks- medical, dental, and vision coverage to employees and dependents
- a 401(k) plan with a generous employer match
- an employee stock purchase plan
- a generous Paid Time Off policy
- paid parental leave and adoption assistance
- free annual health screenings and coaching
- bank at work
- on-site workshops
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
financial reconciliationbilling analysisvariance analysisdata validationautomated reconciliation processesroot cause analysisfinancial workflows834 transactionsEDI data structuresfinancial reporting
Soft Skills
strategic guidanceproblem-solvingcollaborationcommunicationclient-facing experienceteamworkanalytical thinkingattention to detailorganizational skillsleadership