Practice Finance & Operations Manager
The Practice Finance & Operations Manager position will support and strengthen the financial and operational infrastructure of the Milliman Advanced Risk Adjusters™ (MARA) software product business. This role provides financial, operational, and analytical support across a rapidly growing product organization and plays a key role in improving visibility, reducing operational friction, and building scalable processes that support the continued growth of the practice.
Who We Are
Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics, and business transformation.
Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG’s) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site (https://www.milliman.com/en/social-impact) to learn more about Milliman’s commitments to our people, inclusion, and sustainability.
Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.
What You Will Do
The Practice Operations & Finance Manager serves as a central operational leader within MARA, strengthening the financial and operational infrastructure of the practice while supporting effective decision-making across leadership teams. This role combines financial operations, reporting, process improvement, and practice support responsibilities to improve efficiency, increase visibility into key business metrics, and enable scalable growth.
The individual in this role will work independently and collaboratively to manage financial processes, develop reporting and operational insights, improve workflows, and identify opportunities to create leverage across the organization.
Finance & Revenue Operations
In this role, you will:
Manage client billing, revenue allocation, usage tracking, and related billing administration activities through preparation of transactions and monitoring of operational metrics
Support payment application and collections processes
Support fee schedule administration and pricing-model-based allocations
Maintain revenue-by-client reporting and monthly projections
Support monthly expense tracking, P&L reporting, and financial analysis activities
Maintain financial allocation and recategorization processes
Support commission calculations and financial system entries
Maintain billing systems including client setup, payment structures, and associated reporting components
Assist with financial modeling, forecasting, and operational planning activities
Financial Analysis & Reporting
Develop and maintain recurring financial and operational reporting processes
Support KPI tracking and performance monitoring activities
Analyze trends and identify opportunities for improved operational effectiveness
Build and improve Power BI dashboards and reporting tools
Support ad hoc operational and financial analyses
Create reporting that provides visibility into practice performance and resource utilization
Practice Operations
Administer operational workflows and support systems including FreshDesk and related tools
Maintain client lists, mailing lists, and usage data reconciliation processes
Coordinate internal documentation, policies, and knowledge repositories
Support operational controls and process consistency across the practice
Support Concur and expense management processes
Respond to staff questions and operational requests related to practice resources and workflows
Provide operational and administrative support across practice functions as needed
Client Services & Administrative Support
Maintain contract, amendment, invoice, and implementation trackers
Support release note mailings and client communication activities
Support meeting documentation and follow-up activities
Support ticketing and other client management tools
Assist with PowerPoint, Word, Adobe and training material formatting and editing for client-facing documents
Support client related conferences, newsletters, surveys
Process Improvement & Infrastructure Development
Introduce and refine processes that improve efficiency, standardization, and collaboration through identifying recurring work and developing scalable solutions - optimizing workflows
Create and maintain documentation, policies and procedures for product group
Leverage AI-enabled tools (e.g., Microsoft Copilot, ChatGPT) to accelerate workflow efficiency and productivity and to improve team effectiveness while ensuring accuracy in results
Serve as operational “glue” across finance, client services, product, development, and leadership teams
What We Are Looking For
Professional Qualifications
Bachelor’s degree in finance, accounting, business, operations, or related field preferred
5+ years of experience in finance, business operations, accounting, or a related field
Experience supporting a consulting practice or department through budgeting, financial reporting, forecasting, or operational analysis activities
Advanced proficiency in Microsoft Excel required
Experience with Power BI, reporting tools, or financial systems preferred
Experience leveraging AI tools to improve efficiency and workflow effectiveness preferred
Personal Qualifications
Strong analytical and problem-solving skills
Strong attention to detail and organizational ability
Excellent written and verbal communication skills
Naturally curious and systems-oriented
Service-minded with a strong utility-player mentality
Works well both independently and as a collaborator
Able to work at the transaction level and at an analytical/reporting level
Comfortable balancing strategic thinking with practical execution
Proactive and able to identify issues before they become problems
Adaptable and comfortable learning and applying new technologies
High degree of professionalism and confidentiality
Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.
The Team
MARA is a platform-independent software product that fuels population health analytics and helps customers implement financial decisions, payment arrangements, and care support programs with confidence. MARA is at the heart of today’s leading population healthcare analytics platforms. It provides patient risk insight using demographic, medical claim, and pharmacy claim information. Available since 2009, today MARA supports more than 300 healthcare organizations. Government healthcare programs, not-for-profits, mutuals, for-profit health plans, and healthcare providers rely on MARA models to evaluate risk for financial and medical management applications.
The Milliman Advanced Risk Adjusters team is a group of risk adjustment product experts, healthcare actuaries and analysts, data scientists, and software developers dedicated to developing top-performing risk assessment models and easy-to-use software. We’re passionate about building better longitudinal healthcare analytics tools and empowering healthcare stakeholders to solve complex cost and care challenges.
The MARA Operations and Client Services team supports the entire MARA product group, internal and external clients and financial reporting. Employees balance working independently and collaborating with other team members on a variety of projects concurrently.
Location
This is a remote position. Candidates hired into this role may work onsite in select Milliman office locations, if they prefer. The expected application deadline for this job is June 30, 2026.
Compensation
The overall range for this role is $78,800 - $145,130. For candidates residing in:
Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia the range is $90,620 - $145,130.
All other locations the range is $78,800 - $126,200.
A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.
Benefits
We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include:
Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners.
Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges.
401(k) Plan – Includes a company matching program and profit-sharing contributions.
Discretionary Bonus Program – Recognizing employee contributions.
Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses.
Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
Holidays – A minimum of 10 paid holidays per year.
Family Building Benefits – Includes adoption and fertility assistance.
Paid Parental Leave – Up to 12 weeks of paid leave for employees who meet eligibility criteria.
Life Insurance & AD&D – 100% of premiums covered by Milliman.
Short-Term and Long-Term Disability – Fully paid by Milliman.
Equal Opportunity
All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.
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