Financial Operations Manager - Madison, WI

Summary

The Financial Operations Manager is responsible for leading day-to-day Medicaid financial operations in support of the State of Wisconsin contract. This role oversees financial processing activities including incoming mail and check handling, cash receipts, deposits, checkwrite activities, reconciliation support, financial controls, and issue resolution.

This position leads a financial operations team while ensuring contractual requirements, Service Level Agreements (SLAs), internal controls, and established financial procedures are consistently met. The Financial Operations Manager also serves as a key partner to the client and internal Finance, Systems, Claims, Customer Experience, and operational teams

Your role in our mission

• Lead daily Medicaid financial operations, including mail receipt, check handling, cash receipts, deposits, transaction processing, dispositioning, and reconciliation activities.
• Oversee daily and weekly financial processing cycles, including scheduled checkwrite activities, ensuring transactions are completed accurately and on time.
• Establish and maintain controls for the receipt, custody, tracking, processing, and disposition of checks and other financial instruments.
• Maintain appropriate segregation of duties, quality checkpoints, documentation, and management oversight across financial transactions.
• Monitor financial activities and resolve or escalate processing delays, discrepancies, reconciliation differences, balancing issues, and other operational risks.
• Maintain documented standard operating procedures, control points, quality assurance processes, and audit-ready documentation.
• Ensure financial operations meet contractual requirements, SLAs, internal policies, and applicable Medicaid program requirements.
• Serve as a key operational contact for the State of Wisconsin, providing timely communication regarding financial processing, issues, risks, service levels, and improvement opportunities.
• Partner with Finance, Systems, Claims, Customer Experience, vendors, and other operational teams to resolve issues and support changes impacting financial workflows.
• Support system changes, enhancements, testing, implementations, and production issue resolution by representing operational and financial control requirements.
• Recruit, develop, coach, and lead a high-performing team while ensuring appropriate staffing, cross-training, and coverage for time-sensitive financial activities.
• Monitor operational performance and key indicators, identify trends and control gaps, and lead corrective actions and continuous improvement efforts.

What we're looking for

• Experience managing financial operations, transactional processing, accounting operations, banking operations, Medicaid operations, or a comparable controlled financial environment.
• Strong understanding of financial controls related to cash receipts, checks, deposits, reconciliation, transaction processing, and financial exception management.
• Demonstrated people leadership experience, including hiring, coaching, performance management, workload management, and employee development.
• Experience developing and maintaining operational procedures, internal controls, quality assurance processes, and audit-ready documentation.
• Strong analytical and problem-solving skills with the ability to research discrepancies and drive issues through resolution.
• Ability to manage multiple time-sensitive financial cycles and priorities while maintaining accuracy and strong control practices.
• Strong client-facing communication skills with the ability to communicate operational and financial issues to business and technical audiences.
• Experience partnering with Systems or technical teams on business requirements, testing, defects, enhancements, and production issues.
• Strong organizational and time-management skills with the ability to work effectively in a changing Medicaid environment.
• Proficiency with Microsoft Office applications, including Excel, Outlook, and Teams.

Preferred Qualifications

• Experience supporting Medicaid, healthcare claims, managed care, or government healthcare financial operations.
• Experience with Medicaid claims payment or checkwrite processes.
• Experience managing operations involving physical checks, deposits, cash receipts, or other financial instruments.
• Experience working directly with state government clients.
• Experience supporting financial system implementations, enhancements, testing, or production issue resolution.
• Familiarity with financial reconciliation, audit controls, segregation of duties, and operational risk management.

What you should expect in this role

• This is an onsite position based in Madison, Wisconsin, Monday through Friday.
• Consistent onsite presence is required due to responsibilities involving physical mail, checks, deposits, and other financial transactions.
• This position supports time-sensitive daily and weekly financial processing cycles and requires strong operational oversight and coordination.
• The role includes regular interaction with the State of Wisconsin client and cross-functional Finance, Systems, Claims, Customer Experience, and operational partners.

This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis. 

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