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