Senior Manager Cost Accounting

Position Summary

About the Role

Responsibilities

• Leads enterprise cost accounting activities across hospitals, physician organizations, ambulatory operations, and corporate functions, including the integration of new organizations into the clinical cost accounting framework, ensuring consistency and rigor across all entities.
• Serves as the enterprise subject matter expert in healthcare costing methodologies, profitability analytics, and financial performance measurement; designs and leads costing improvement initiatives that generate deeper insights into margin performance and organizational opportunity areas.
• Conducts root-cause analysis of cost, margin, and profitability variances across service lines, sites, and operational units; translates findings into clear, actionable recommendations for operations and organizational leadership.
• Translates complex financial and operational data into executive-ready insights, briefings, and presentations for senior leadership, Finance Committee, executive leadership, and Board audiences on a recurring and ad hoc basis.
• Develops and maintains service line profitability, contribution margin, and operating margin reporting in partnership with Service Line Finance team members, ensuring timely delivery and analytical accuracy.
• Manages, mentors, and develops Cost Accounting analyst by setting clear performance expectations, providing regular coaching, and fostering a culture of analytical rigor, continuous improvement, accountability, and service orientation.
• Establishes and maintains reporting standards and internal controls that ensure the accuracy, transparency, and consistency of cost and profitability information across the organization; develops benchmarking capabilities to evaluate cost performance against internal and external peers.
• Supports strategic planning efforts in collaboration with Strategy, Finance, and Operations leaders to evaluate growth opportunities, service line expansion, physician recruitment, ROI analyses, business cases, scenario modeling for government advocacy, and capital investment decisions.
• Partners with Revenue Cycle, Reimbursement, and Managed Care teams to assess financial performance by payer, service line, and site of care; provides analytical support for payer contracting, reimbursement initiatives, and strategic pricing scenario development.

Requirements

• REQUIRED EDUCATION AND EXPERIENCE: Bachelor's degree in Accounting, Finance, Healthcare Administration, Economics, Business Analytics, or a related field, and seven (7) or more years of progressive experience in healthcare finance, cost accounting, reimbursement, decision support, financial analytics, consulting, or a related field; or equivalent combination of education and experience.
• PREFERRED EDUCATION AND EXPERIENCE: Master's degree in a relevant field. Experience with Strata EPSi Cost Accounting, Tableau, Power BI, SQL, Epic, Workday, Oracle, or similar healthcare analytics platforms preferred. Experience leading analytical teams and providing financial decision support in a complex, multi-entity healthcare environment.

Skills & Abilities

• Knowledge of healthcare cost accounting methodologies, including standard costing, relative value unit (RVU)-based allocation, and activity-based costing.
• Knowledge of healthcare reimbursement structures, payer contracting mechanics, and service line profitability drivers.
• Skill in applying financial modeling and variance analysis techniques to cost, margin, and profitability data in a healthcare setting.
• Skill in translating complex financial and operational data into structured, audience-appropriate reports and presentations for executive and Board-level stakeholders.
• Skill in leading, developing, and performance-managing analytical staff across multiple levels.
• Ability to manage multiple high-complexity projects concurrently while maintaining accuracy, prioritization, and delivery timelines.
• Ability to partner across Finance, Operations, Revenue Cycle, and Clinical Leadership functions to align cost information with strategic and operational objectives.

Benefits

Compensation Range: $97,500.00 - $141,500.00
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.