Decision Support Cost Analyst

This position can be remote only for candidates residing in the following states: Nebraska (preferred), Georgia, Idaho, Iowa, Kansas, Missouri,  New Mexico, North Carolina, South Dakota, or Tennessee.

A Brief Overview

The analyst is responsible for building, maintaining, and administration of the Financial Decision Support systems. Responsible for ensuring cost accounting is maintained and completed timely and accurately. Assists in developing and refining cost accounting methodologies and metrics that provide operational insight to leaders within the organization


Essential Functions

Cost Accounting:

 • Process owner and subject matter expert for cost accounting

 • Maintenance of cost accounting related dimensions tables in accordance with advanced costing procedures and methodologies

 • Responsible for accurate and timely completion of cost accounting processes to support monthly cost accounting close cycle.

 • Develop cost accounting methodologies and derive per-unit costing at the charge-code level

 • Maintain advanced costing procedures and methods to support institution wide cost management and patient based profitability reporting.

 • Responsible for RVU collection process, indirect cost allocation, activity-based costing, supply-based costing, and time-driven costing. 

 • Continuously explore, recommend, and implement ways to increase the accuracy of costing, including supplies and pharmaceuticals

 • Cross functional collaboration with other departments to develop, implement, validate, and maintain data integrity and cost accounting RVUs

 • Reconcile revenue and expenses in costing to the general ledger on a monthly basis

System Data and Maintenance:

 • Maintain a thorough understanding of the flow of data throughout the FP&A and Decision Support systems

 • Maintain setup of various Decision Support dimension tables (i.e., department/account rollups, hierarchies, etc.) 

 • Process owner for cost accounting RVUs, entries, set-up, maintenance, and optimization and develops and maintains methodology documentation

 • Cross functional collaboration with other departments to develop, implement, validate, and maintain data integrity

 • Process owner for outpatient dialysis, Home Health, and professional Anesthesia billing and payment integrations including reconciliation and data integrity. 

Reporting and Analytics:

 • Understand financial statements, measures, available reports, and analytical tools

 • Query and analyze financial data

 • Build metrics and/or other reporting capabilities to Support the organization

 • Create and provide reports and education as requested

 • Advanced understanding of Costing (FP&A) processes and inputs

 • Ability to negotiate and prioritize multiple projects

 • Partner with other team members and/or individuals outside of Finance to make improvements to Costing (standard reporting)

 • Assist in preparation and analysis of monthly, quarterly and/or annual service line profitability reports.

Education Qualifications

• Bachelor's degree in business or healthcare administration, finance, accounting or related field required

Experience Qualifications

• Minimum 5 years' progressive experience in finance, cost accounting or financial analysis, including 2 years experience in decision support system and/ or cost accounting is required
• Minimum 2 years' experience in healthcare setting preferred

Skills and Abilities

• Proficient with Microsoft Office Windows environment
• Working knowledge of clinical and hospital information systems
• Working knowledge of the basic principles of accounting, cost accounting, healthcare reimbursement, and general finance theories and methodologies
• Ability to work independently to determine methods or procedures on new or special assignments
• Ability to organize and manage projects 
• Strong analytical skills
• Ability to work with tight deadlines and identify priorities in a fast-paced, highly visible environment
• Strong people skills, ability to build relationships, collaborative and approachable
• Experience with reporting tools and business intelligence tools
• Experience with finance decision support and cost accounting systems and methodologies 
• Experience with Strata or similar finance tool 

At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

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