Reconciliation Analyst

Reconciliation Analyst

SummaCare - 1200 E Market St, Akron, OH

Full-Time / 40 Hours / Days

Remote Opportunity

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 2026 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.

Summary:

Develops, tests, implements, and maintains databases with respect to business applications needed to support the organizational needs of the company including but not limited to the commercial Exchange and the Medicare line of business. Maintains and reconciles payment data related to capitated payments on and off exchange as well as supporting business needs to ensure appropriate levels of risk adjusted capitated payment per member per month.

Educational Requirements

Bachelor Degree or may substitute with 4 years of like experience.

Required Experience

3+ years performing same or similar responsibilities. Relevant experience includes: project management, database design & maintenance, development of ad-hoc reporting queries, and data analytic solutions. Working knowledge of MS Access and database and reporting applications such as MS SQL Server applications, Query Analyzer, and Enterprise Manager, also required.

Required Licenses and/or Certificates

None required.

Software and Data Entry Requirement

1. Access at intermediate level.

SKILLS AND ABILITIES

Communication

High: ability to communicate instructional and operational information verbally and in written form that may include correspondence, reports, instructional materials, system designs; ability to provide instruction and guidance required to supervise day-to-day departmental operations; ability to interface with internal staff, mid-upper management professionals, and general public.

Analytical

Complex: designing, developing, implementing complex policies, procedures, programs, technical systems that may affect more than one department. Proofreading completed work to find and correct errors. Requires excellent attention to detail.

Other Skills and Abilities

1. Maintain current knowledge of database management concepts, techniques and principles.

2. Understands business processes and effectively translate business needs into appropriate data solutions.

3. Apply principles of logical thinking to define problems, collect data, establish facts, draw valid conclusions, and prepare recommendations.

4. Demonstrate strong analytical ability and attention to detail.

5. Organize and manage time to accurately complete tasks within designated time frames in fast-paced environment.

6. Maintain current knowledge of and comply with company policies and procedures.

7. Maintain confidentiality of patient and business information.

8. Flexible: ability to adjust work hours to meet business demands.

Physical Effort and Dexterity*

1. Sit for prolonged periods of time.

2. Bend, stoop, and stretch.

3. Lift up to 20 pounds.

4. Manual dexterity to operate computer, phone, and standard office machines.

Visual Acuity, Hearing, and Speaking*

• Candidates whose disabilities make them unable to meet these requirements will still be considered fully qualified if they can perform essential functions of job with reasonable accommodation.

Scheduling

Occasional overtime work required during peak business periods as scheduled by supervisor. Occasional travel that may require use of personal auto to attend meetings, conferences, workshops, and/or seminars.

Safety Hazards and Environment

Minimal hazards. General office working conditions.

Equal Opportunity Employer/Veterans/Disabled

$34.00/hr - $50.99/hr

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.

Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.

• Basic Life and Accidental Death & Dismemberment (AD&D)
• Supplemental Life and AD&D
• Dependent Life Insurance
• Short-Term and Long-Term Disability
• Accident Insurance, Hospital Indemnity, and Critical Illness
• Retirement Savings Plan
• Flexible Spending Accounts - Healthcare and Dependent Care
• Employee Assistance Program (EAP)
• Identity Theft Protection
• Pet Insurance
• Education Assistance
• Daily Pay