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Director, Decision Support & Cost Accounting; Healthcare Finance

Job in Leipsic, Kent County, Delaware, USA
Listing for: A-Line Staffing Solutions
Full Time position
Listed on 2026-05-16
Job specializations:
  • Finance & Banking
    Financial Manager, Financial Reporting, Financial Analyst, CFO
Salary/Wage Range or Industry Benchmark: 111155.2 - 172286.4 USD Yearly USD 111155.20 172286.40 YEAR
Job Description & How to Apply Below
Position: Director, Decision Support & Cost Accounting (Healthcare Finance)
Location: Leipsic

Director of Decision Support / Cost Accounting

A-Line Staffing is now hiring a Director of Decision Support / Cost Accounting in Dover, DE. The Director of Decision Support / Cost Accounting would be working for a large healthcare organization and has career growth potential. This would be full time / 80 hours bi-weekly.

If you are interested in this Director of Decision Support / Cost Accounting position, please contact Lindsay at  or

Compensation
  • The pay for this position is $ - $ annually.
Highlights
  • Schedule:

    Full Time | 80 hours bi-weekly
  • Shift: Days
  • Location:

    Dover, DE
  • Position Type:
    Direct Hire / Permanent
  • Onsite role – must be local or willing to relocate to the Dover, DE area
Responsibilities
  • Manage the Cost Accounting system used for service line profitability analysis and financial performance reporting
  • Oversee productivity systems and reporting for external agencies including S&P, Fitch, DAC, EMMA, and other regulatory/financial reporting entities
  • Publish monthly service line Profit & Loss statements, physician practice P&Ls, and scorecard
  • Develop financial feasibility studies and reimbursement models using STRATA software
  • Calculate and analyze ROI, NPV, IRR, payback periods, and other financial metrics for capital project evaluation
  • Partner with leadership to review service line profitability and develop improvement plans for unfavorable budget variances
  • Complete annual surveys, insurance renewals, FEMA/Single Audit reporting, GME reporting, and support audit requirement
  • Train leaders and managers on productivity and financial reporting systems
  • Manage ad hoc reporting requests and strategic financial analysis projects
  • Mentor the Supervisor of Decision Support and Special Projects Analyst
  • Support software implementations including ERP systems, leasing software, and STRATA forecasting modules
  • Perform additional duties as assigned within scope of role
Requirements
  • Bachelor’s degree in Accounting, Finance, or related field required
  • Minimum of 10+ years of experience in cost accounting, budgeting, and/or decision support required
  • Healthcare finance experience required
  • Experience with STRATA financial software or similar decision support tools require
  • Strong background in financial modeling, cost accounting, and reimbursement analysis
Preferred Qualifications
  • Master’s degree in Business Administration or Health Administration preferred
  • Financial and/or healthcare certifications preferred
  • Experience with hospital reimbursement, healthcare contracting, bundled payments, and physician reimbursement preferred

If you think this Director of Decision Support / Cost Accounting position is a good fit for you, please reach out to Lindsay at  or

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