<p>Manager, Financial Planning & Operations</p> <p>SummaCare - 1200 E Market St, Akron, OH</p> <p>Full-Time / 40 Hours / Days</p> <p>Hybrid</p> <p>As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare. Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits.</p> <p>Summary:</p> <p>Responsible for the management of the health plans financial operations, including but not limited to: budgeting, forecasting, budget to actual administrative cost analysis, benchmarking, cost accounting, TPA accounting/group reporting, internal & external commission payments, membership reporting and fixed assets accounting and tracking. Also responsible for overseeing the facilities management for the health plans location. Ensures that processes and controls are designed and operating effectively in order to maintain the integrity, accuracy, and timeliness of assigned accounting and financial reporting activities. Work closely with the health plans Controller and CFO on budgeting and forecasting decisions and presentations for Senior Management, Summa Health System leadership team, and the Board of Directors. Works closely with senior management, directors and managers on explaining administrative budget variances and benchmark deviations. Ensures internal and external financial reporting needs are met in accurate and timely fashion.</p> <p>Formal Education Required:</p> <p>a. Bachelor's Degree in accounting or related field.</p> <p>Experience and Training Required:</p> <p>a. Five (5) years of experience to include: management of Accounting department, financial reporting, auditing, cash management, fiduciary activities, and supervision of staff.</p> <p>Essential Functions</p> <ol> <li>Financials </li></ol> <ul> <li>Plans, prepares, implements and monitors area's operational and capital budgets to ensure sound fiscal management consistent with the goals of Summa Health System. </li><li>Manages productivity within department; minimum target is 100%; meets targets set in assigned area. </li></ul> <ol start="2"> <li>Managing & Leading People </li></ol> <ul> <li>Manages performance and ensures 100% of all required performance appraisals are completed. </li><li>Ensures all staff members complete Mandatory Organizational Education (MOE) training annually. </li><li>Ensures all staff members adhere to established Service Excellence Standards. </li><li>Monitors and manages staffing, turnover and vacancy in assigned departments. </li><li>Ensures continued development and education of self and staff. </li><li>Ensures excellent open communications within the department through regular staff meetings, preparation and distribution of minutes, and other means to keep the department informed on a timely basis. </li><li>Recruits, hires, and oversees additional facility-based care management staff development and implementation of an orientation plan for new staff members, and provides timely feedback. </li></ul> <ol start="3"> <li>Service Excellence </li></ol> <ul> <li>Identifies the direct and indirect customers served by assigned department, determining appropriate products and/or services based upon customers' needs, measuring customers satisfaction and developing actions that continually improve services. </li><li>Ensures staff and self follow Service Excellence Standards of Behavior, including standards for Appearance and Environment, Attitude and Courtesy, Communication, Teamwork, Customer Service, Confidentiality, Safety and Etiquette. </li></ul> <ol start="4"> <li>Planning & Organizing </li></ol> <ul> <li>Plans and organizes all activities under his/her control is an effective manner. Prepares departmental tactical and strategic plans as well as designing appropriate organizational structures for areas of responsibility. Organizes and delegates work in an effective manner, establishes appropriate time frames for completion of work, and provides the necessary leadership to ensure effective work results. </li></ul> <ol start="5"> <li>Performance Improvement </li></ol> <ul> <li>Ensures that his/her department adopts a Total Quality Improvement approach to its work that includes employee empowerment, managing with data, a philosophy of continual improvement, a customer driven attitude and a work methodology that maximizes error prevention. Develops and maintains a complete quality monitoring system throughout their department. </li></ul> <ol start="6"> <li>Relationships with Managers, Peers, etc. </li></ol> <ul> <li>Develops and maintains open, honest and mutually beneficial relationships with their manager, fellow managers, staff and the departments to which he/she provides service. Maintains relationships in a manner consistent with Summa's mission, values and philosophies </li></ul> <ol start="7"> <li>Supports Diversity and Community </li></ol> <ul> <li>Ensures a work environment that promotes and embraces diversity. Works to support and strengthen Summa's service to the community. </li></ul> <ol start="8"> <li>Regulatory Compliance </li></ol> <ul> <li>Complies with regulatory and accreditation requirements through completion of Summa's mandatory organizational education, TJC, Code of Conduct and compliance training. </li><li>Responsible for adherence to applicable regulations in daily activities and work processes. </li></ul> <p>Additional Job Duties (note these areas of responsibility should not duplicate those previously covered above):</p> <ol start="9"> <li> <p>Oversees the preparation, reporting and monitoring of the annual budget, monthly and annual forecasts and the annual administrative cost benchmarking (Sherlock report) for all six companies. Work with Summa Health System leadership to integrate budgets and forecasts into the System's consolidated statements. Prepare presentations for Senior Management, Summa Health System leadership team, and the Board of Directors.</p> </li><li> <p>Oversees the process of administrative cost allocations, ensuring that costs are appropriately allocated to each of the 6 health plan companies in a manner that is appropriate and auditable. Develop administrative cost models to be used for a variety of functions including the annual Medicare bid.</p> </li><li> <p>Develop actual to budget variance reporting for administrative expenses and work with department's senior management, directors and managers on explaining budget variances and benchmark deviations.</p> </li><li> <p>Oversee the monthly internal and external broker commissions for Medicare, commercial business and the MEWA.</p> </li><li> <p>Oversee all of the TPA functions including but not limited to; generate and send TPA reports to clients, reconcile TPA payments, monitor TPA bank accounts for funding and claim checks release, process pass through activity and journalize all TPA transactions.</p> </li><li> <p>Work with the building landlord to handle all building related issues.</p> </li><li> <p>Responsible for processes and internal controls for assigned areas of responsibility are designed and operating effectively to ensure accuracy and timeliness. Analytical mindset identifies results that may be concerning and proactively works with the team to ensure accuracy. Performs all job functions with integrity and maintains a strong "tone at the top".</p> </li><li> <p>Provides timely internal and external customer service in cooperative, professional, and respectful manner.</p> </li><li> <p>Level of Physical Demands:</p> </li></ol> <p>a. Light: Exerts up to 20 pounds of force occasionally and/or up to ten pounds of force frequently, and/or a negligible amount of force continuously.</p> <p>Equal Opportunity Employer/Veterans/Disabled</p> <p>$49.78/hr - $74.68/hr</p> <p>The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.</p> <p>Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.</p> <ul> <li>Basic Life and Accidental Death & Dismemberment (AD&D) </li><li>Supplemental Life and AD&D </li><li>Dependent Life Insurance </li><li>Short-Term and Long-Term Disability </li><li>Accident Insurance, Hospital Indemnity, and Critical Illness </li><li>Retirement Savings Plan </li><li>Flexible Spending Accounts - Healthcare and Dependent Care </li><li>Employee Assistance Program (EAP) </li><li>Identity Theft Protection </li><li>Pet Insurance </li><li>Education Assistance </li><li>Daily Pay </li></ul>