Healthcare Financial Advisory Manager – Decision Support, Cost Accounting
Posted 3ds ago
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Job Description
Manager of Decision Support & Cost Accounting leading cost accounting engagements for hospitals. Handling high-stakes client decisions using advanced costing methodologies and supporting CFO stakeholders.
Responsibilities:
- lead the design and delivery of cost accounting and service line margin engagements for hospitals and health systems
- apply various costing methodologies including Time-Driven Costing (TDABC) and step-down methodologies
- connect cost intelligence directly to high-stakes client decisions
- play an integral role in decision support offering
- partner with project and relationship leaders in client interactions with CFO and VP Finance stakeholders
- contribute to the development of reusable engagement playbooks and delivery templates
Requirements:
- 5+ years of experience in healthcare finance consulting or healthcare provider finance, with direct responsibility for decision support, cost accounting, or service line financial analytics
- 2-3 years of hands-on experience with StrataJazz Decision Support or a comparable healthcare EPM / cost accounting platform
- Demonstrated experience building and delivering service line margin analyses, service line P&Ls, or DRG-level cost models
- Proven ability to lead consulting engagements or major workstreams
- Experience translating complex cost and margin analyses into clear, decision-ready insights for finance leaders
- Strong consulting toolkit, including client-ready deliverables, executive presentations, and financial models
- Advanced proficiency in Microsoft Excel and PowerPoint
- Demonstrated ability to coach and develop junior team members
- Bachelor’s degree in Accounting, Finance, Economics, Healthcare Administration, or a related field; advanced degree or CPA/MBA a plus
Benefits:
- medical, dental and vision coverage
- wellness programs
- 401(k) plan with a generous employer match
- employee stock purchase plan
- generous Paid Time Off policy
- paid parental leave and adoption assistance
- free annual health screenings and coaching




















