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Director, Decision Support & Cost Accounting; Healthcare Finance

Job in Leipsic, Kent County, Delaware, USA
Listing for: A-Line Staffing Solutions LLC
Full Time position
Listed on 2026-06-04
Job specializations:
  • Finance & Banking
    Financial Manager, CFO, Financial Analyst, VP/Director of Finance
Job Description & How to Apply Below
Position: Director, Decision Support & Cost Accounting (Healthcare Finance) - 166959
Location: Leipsic

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  Director of Decision Support / Cost Accounting Compensation The pay for this position is $ - $ annually.

Director of Decision Support / Cost Accounting 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 Director of Decision Support / Cost Accounting 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 Director of Decision Support / Cost Accounting 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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