Senior Manager, Tax & Treasury

Come grow with us! Medrina has been voted one of the fastest growing companies and 92% of our employees feel we are a Great Place To Work! For more details on what our employees say go to Working at Medrina | Great Place To Work® . The Senior Manager, Tax & Treasury is a senior finance leader responsible for overseeing the Company's tax compliance, tax reporting, business registrations, treasury operations, cash management, and banking relationships across a complex, multi-entity healthcare organization.

This role provides strategic and operational leadership over federal, state, and local tax matters, including tax return compliance, SALT filings, annual tax provision, tax notices, and business registrations and filings. The Senior Manager will manage the Company's relationship with outsourced tax advisors and ensure timely and accurate completion of all tax compliance and reporting requirements.

The Senior Manager will also oversee treasury activities, including cash management, liquidity planning, cash flow forecasting, banking administration, bank account management, and banking relationships. The role will partner closely with the Accounting, FP&A, Legal, Payroll, Operations, and executive leadership to manage financial risk, optimize liquidity, and support the Company's growth.

This position requires strong technical tax knowledge, treasury expertise, analytical skills, and the ability to manage both internal stakeholders and external service providers.

Essential Duties and Responsibilities

Tax Compliance & Oversight Oversee the Company's federal, state, and local tax compliance across multiple legal entities and jurisdictions. Ensure timely and accurate preparation and filing of federal, state, and local income/business/franchise tax returns, estimates, extensions, and related tax filings. Oversee Company's annual 1099 reporting requirements, including Forms 1099-NEC and 1099- MISC, ensuring accurate preparation, filing, and distribution within applicable deadlines.

Oversee SALT compliance, including state and local income/franchise, sales and use, gross receipts, and other applicable tax obligations. Manage the Company's relationship with outsourced tax firms and external tax advisors, including coordinating deliverables, reviewing work product, and ensuring compliance deadlines are met.

Maintain a comprehensive tax compliance calendar and ensure all tax filings, payments, and regulatory requirements are completed timely. Monitor tax notices, inquiries, audits, and assessments and coordinate responses with external tax advisors and internal stakeholders. Monitor changes in tax laws and regulations and assess their potential impact on the Company.

Partner with the Accounting team on tax-related accounts, payments, reconciliations, and financial reporting. Tax Provision & Reporting Oversee the Company's annual income tax provision and related tax accounting activities in accordance with U.S. GAAP. Coordinate with external tax advisors and the Controller to ensure accurate and timely tax provision calculations and supporting documentation.

Review current and deferred tax calculations, effective tax rate analyses, and related tax account reconciliations. Support the year-end financial reporting and external audit process with respect to tax matters. Research and communicate significant tax matters, risks, positions, and business implications to the Controller and executive leadership.

SALT, Business Registrations & Entity Compliance Maintain oversight of the Company's state and local tax footprint and related compliance requirements. Manage business registrations, foreign qualifications, tax registrations, annual reports, renewals, and other recurring state and local filings. Maintain accurate records of legal entities, jurisdictions, registrations, tax accounts, and filing requirements.

Partner with Legal, Accounting, Operations, and external advisors on tax and registration requirements associated with new states, locations, acquisitions, and entity changes. Ensure the Company remains compliant and in good standing with applicable state and local regulatory requirements as the organization grows. Treasury & Cash Management Lead the Company's treasury function, including cash management, liquidity planning, cash flow forecasting, and banking administration.

Monitor daily cash positions and liquidity requirements to ensure adequate funding for ongoing operations and financial obligations. Develop and maintain short- and long-term cash flow forecasts in partnership with Accounting and FP&A. Oversee cash movements, intercompany funding, transfers, and other treasury transactions across legal entities.

Monitor working capital and liquidity and identify opportunities to improve cash utilization and financial efficiency. Support capital planning and liquidity analysis related to acquisitions, growth initiatives, capital expenditures, and other strategic activities. Ensure appropriate treasury policies, procedures, controls, and approval processes are maintained.

Banking Relationship Management Develop and maintain effective relationships with the Company's banks and financial institutions. Oversee bank account administration, including account openings and closures, authorized signers, user access, documentation, and account maintenance. Manage banking and treasury services, including ACH, wires, positive pay, online banking, and other applicable services.

Evaluate banking services, fees, and structures and identify opportunities for efficiency and cost optimization. Coordinate with banking partners regarding credit facilities, financing arrangements, cash management services, and other banking matters. Maintain appropriate controls over bank access, payment authorization, and cash disbursements.

Risk Management & Internal Controls Establish and maintain effective internal controls over tax, cash, banking, and treasury activities. Identify and mitigate financial risks related to liquidity, banking, payments, fraud, interest rates, and other treasury activities. Ensure appropriate segregation of duties and authorization controls over cash and payment processes.

Partner with Accounting, Legal, Compliance, Internal Audit, and external advisors to address control gaps and financial risks. Maintain documented policies, procedures, and controls supporting tax and treasury operations. Cross-Functional Leadership & Strategic Partnership Serve as a trusted advisor to the Controller and executive leadership on tax, treasury, liquidity, banking, and financial risk matters.

Partner with Accounting and FP&A on cash flow forecasting, financial reporting, liquidity planning, and strategic analysis. Partner with Legal on entity formations, business registrations, acquisitions, restructurings, and other matters with tax or treasury implications. Partner with Payroll and other functional teams on tax compliance and related reporting matters.

Support acquisitions, integrations, new-state expansions, entity reorganizations, and other strategic initiatives requiring tax or treasury expertise. Identify opportunities to improve processes, systems, controls, and reporting across the tax and treasury functions. Job Requirements Minimum 8+ years of progressive experience in corporate tax, treasury, accounting, or related finance functions, with significant experience in tax compliance and treasury management.

Demonstrated experience overseeing federal, state, and local tax compliance within a multi-entity organization. Strong knowledge of SALT compliance, including state income/franchise, sales and use, gross receipts, and related state and local tax matters. Experience overseeing annual tax provision processes and tax accounting under U.

S. GAAP. Experience managing outsourced tax firms, external tax advisors, auditors, and other professional service providers. Experience with business registrations, foreign qualifications, annual reports, tax registrations, and state/local compliance requirements. Demonstrated experience with treasury management, cash management, liquidity planning, and cash flow forecasting.

Experience managing banking relationships, bank accounts, treasury management services, payment processes, and banking administration. Strong understanding of internal controls, cash controls, payment authorization, segregation of duties, and financial risk management. Experience working within a complex, multi-entity organization; healthcare experience preferred.

Experience supporting acquisitions, integrations, entity reorganizations, or geographic expansion preferred. Strong analytical, organizational, problem-solving, and communication skills. Ability to manage multiple deadlines, jurisdictions, external providers, and competing priorities. Advanced Microsoft Excel skills and experience with ERP and financial systems preferred.

CPA, MST, or other relevant professional certification strongly preferred.

Education

Requirements

Bachelor's degree in Accounting, Finance, Taxation, or a related field required. Master's degree in Accounting, Taxation, Finance, or Business Administration preferred. CPA or Master's in Taxation preferred.