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Firelands Health
Sandusky, Ohio

Firelands Physician Group Business Manager

Healthcare AdminFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 7mo ago

Job Description

Position Highlights

  • Award Winning: Named among the top 10% in the Nation for Patient Safety Excellence Award, America’s 100 Best Orthopedic Surgery, America’s 100 Best Spine Surgery.
  • Employee-centric: Competitive pay, excellent benefits, tuition assistance, retirement plan matching, recognition program, local discounts.
  • Stability: Serving Erie and surrounding counties since 1876.
  • Lifestyle: Sandusky was voted “Best Coastal Small Town in America”. You will have the opportunity to enjoy living and working in this growing area along the beautiful shores of Lake Erie.
  • Work/life: You will find support to help you manage your personal life while building a career.

What You Will Do

The Firelands Physician Group (FPG) (a subsidiary of Firelands Regional Health System) Accounting and Business Analytics Manager (“FA/BA Manager”) will report to the FRMC Controller, but also work closely and in support of the FPG President, the FPG Senior Director of Operations, the FPG Practice Managers (FPG Leadership Team).

They are responsible for managing daily, monthly, and annual accounting operations, such as maintaining subledgers, approving journal entries, reconciling accounts, investigating fluctuations, and preparing reports for the FPG Reporting Unit.

These activities and processes support accurate and timely accounting and reporting of the System's operations in accordance with GAAP (Generally Accepted Accounting Principles).

This position is responsible for maintaining appropriate transaction level detail of accounting activities to support assigned general ledger account balances, as well as executing appropriate control activities to ensure the integrity of the data.

The FPG FA/BA Manager will also be responsible for FPG annual budgeting, pro-forma projections, net revenue analyses, monthly management reporting and analysis, and provider compensation analyses and other financial analytical tasks as assigned by the FRMC Chief Financial Officer (CFO), Controller and/or FPG Leadership Team.

The FPG FA/BA manager will encourage process improvement and identify lean processes and technology enhancements to minimize manual work.

  • Perform day-to-day assigned accounting processes as assigned by Controller.
  • Manage month-end duties timely and accurately. Includes approving journal entries, analyzing variances, and preparing financial reports.
  • Manage and review balance sheet reconciliations timely that provide appropriate support for the balance.
  • Prepares monthly FPG Financial Statements, in aggregate and at the FPG Practice (department) and Provider levels. Analyzes budget and prior year variances and provides written narrative of monthly financial and statistical results for CFO, Controller, and FPG Leadership Team.
  • Analyzes net revenue in aggregate and at the FPG Practice and Provider level providing budgetary and prior year variance analyses. Serves as liaison to outsourced Revenue Cycle team and works with this team to analyze net revenue trends with follow-up on issues, discrepancies and opportunities.
  • Prepares FPG annual operating and capital budgets, consulting and collaborating with the FPG Leadership Team in development of the annual budget. Integrates and maintains financial and statistical budget in the budgeting software (Strata).
  • Assists FPG Leadership team in development of Provider compensation models leveraging external benchmarking tools (e. g. MGMA), working with external advisors as needed and directed. Responsible for monitoring Provider compensation relative to contractual agreements and updating models when applicable for contract changes and new Providers.
  • Serves as a key business advisor to the FPG Leadership Team, participating in weekly meetings, taking their direction and following through on requests for financial and operational analyses, and supporting the CFO in presentation of financial results to the FPG Board of Directors.
  • At the direction of CFO and/or FPG President (or their designees), completes pro-forma projections and analyses for new service Providers. Provides support to CFO and FPG Leadership team in development of strategic planning.
  • Assist Controller with the year-end audit requirements related to FPG.

Assists in the preparation of the 1120 Federal Tax Return and all the local tax returns required to be filed.

  • Performs duties according to established procedures, protocols and professional standards.

What You Will Need

  • Bachelor's degree in Accounting with a minimum of 3 to 5 years’ experience in general accounting required.
  • 3-5 years’ financial experience with physician practices, including compensation modeling, knowledge of physician fee schedule reimbursement methodologies, and Medicare regulations (i. e. billing and compliance).
  • Proficiency with spreadsheet software required.
  • Knowledge of financial reporting and general accounting principles required.
  • High attention to detail and strong analytical skills.
  • Advanced organizational and time management skills.
  • Skill in effective verbal and written communications, including active listening skills and ability to effectively lead meetings.
  • Ability to work independently.
  • Ability to establish and maintain harmonious team-oriented working relationships with co-workers and external contacts and work effectively in a professional team environment.
  • Ability to flourish in a fast-paced, complex environment and willing to adapt to change.
  • Ability to read small letters and numbers, perform basic arithmetic functions, and maintain neat and orderly records.
  • Regularly challenges the efficiency and effectiveness of the accounting department procedures and communicates recommended revisions.
  • Successful completion of a one-hundred eighty (180) day probationary period.

Key Responsibilities

The manager will oversee daily, monthly, and annual accounting operations for the Firelands Physician Group, including maintaining subledgers, approving journal entries, reconciling accounts, and preparing detailed financial reports in accordance with GAAP. This role also involves leading annual budgeting, pro-forma projections, net revenue analyses, and provider compensation modeling, acting as a key business advisor to the leadership team.

Requirements

Candidates must possess a Bachelor's degree in Accounting along with 3 to 5 years of general accounting experience, plus 3-5 years of financial experience specifically within physician practices, including compensation modeling and knowledge of Medicare regulations. Proficiency in spreadsheet software and strong analytical, organizational, and communication skills are also required.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Accounting Operations ManagementGeneral Ledger MaintenanceAccount ReconciliationVariance AnalysisNet Revenue AnalysisGAAP ComplianceOrganizational SkillsVerbal Communication

Healthcare Administration Career Context

Of the 50 active Healthcare Administration listings this role was benchmarked against, 22% are remote, 28% have no call, 68% require no weekends.

The cost-of-living index for Ohio is 92.8 (US average = 100; BEA Regional Price Parities (2024)). 61.3% of Ohio clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Healthcare Administration pay on WeekdayDoc is down 6.0% vs. the prior quarter (through Sep 2026).

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Annual compensation range

Benefits & Perks29 jobs

401k / retirement match
100% this job
CME allowance
10%
Sign-on bonus
3%
Loan repayment
3%
Relocation assistance
3%

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Work-life snapshot

1.5/ 10
Listing-based score

Living in Sandusky

Typical 3-bedroom home value
$158k
Typical market rent
$1,039/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
89.3
State income tax
Up to 4%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Sandusky, OH metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

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About Firelands Health

Benefits & Perks

Competitive pay
Excellent benefits
Tuition assistance
Retirement plan matching
Recognition program
Local discounts