Manager of Decision Support

Position: Manager of Decision Support-Full Time-Days

Manager of Decision Support - Full Time - Days

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Summary

This position supports the academic health center’s financial performance by analyzing clinical, research, and educational cost structures. This role provides detailed cost data, supports decision-making for service‑line profitability, ensures compliance with regulatory requirements, and contributes to strategic planning initiatives in a complex healthcare and academic environment. Responsibilities include maintaining cost allocation tables and MCA procedural weight tables, performing audits of the cost data, completing monthly database updates in a timely manner and ensuring the integrity of the data passed through Syntellis Cost Center Accounting (CCA) from the Financial system (Epic).

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

Financial Planning & Analytics

Work Shift

Days (United States of America)

Major Job Functions

• Conduct detailed cost analyses for hospital departments, clinical service lines, educational programs, and research operations
• Guide cost analysis by providing trends and forecasts; explaining processes and techniques; recommending actions
• Analyze data provided in reports for accuracy and make suggestions for cost and operational improvements
• Develop and maintain cost allocation models (e.g., RVU‑based allocations, activity‑based costing, patient‑level cost models)
• Prepare variance analyses comparing actuals vs. budgets or projections
• Provide recommendations to improve margins, reduce costs, or optimize utilization
• Lead and participate in cross‑functional financial and operational projects
• Support annual budgeting and multi‑year forecasting
• Provide cost assumptions, workload projections, and scenario analyses for project planning
• Assist with pro forma development for new and expansion of clinical programs, capital investments, and strategic projects
• Ensure cost methodologies comply with Medicare cost report
• Support financial and grant compliance for academic and research projects (e.g., Uniform Guidance)
• Provide documentation for audits and internal reviews
• Query, extract, and analyze large datasets to support projects and decision‑making
• Identify opportunities to improve data flows or automate project‑related reporting processes
• Build and create reports to support data needs upon request of external partners
• Present findings in clear, actionable formats
• Facilitate meetings, prepare project updates, and track action items
• Other duties as assigned

Minimum Qualifications Education And Formal Training

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field required
• Master’s degree or CPA/CMA preferred

Work Experience

• 5 years in healthcare finance including cost accounting, financial analysis, and project‑focused roles required
• Experience working on financial or operational projects in healthcare or academia preferred

Knowledge, Skills, And Abilities Required

• Strong financial modeling and analytical skills
• Advanced Excel: experience with SQL, Power BI, or Tableau preferred
• Understanding of healthcare reimbursement, cost allocation methods, and grant/accounting rules
• Ability to manage multiple projects, deadlines, and cross‑functional stakeholders
• Exceptional communication and presentation skills

Physical Requirements

• Mostly sedentary work.
• Long periods of working on a computer.
• Requires work under stressful conditions, deadlines, and/or irregular hours.
• Must possess auditory and visual acuity to accurately perform job functions.

Required Licenses And Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity

Seniority level

Mid‑Senior level

Employment type

Full‑time

Job function

Business Development and Sales

Industries

Hospitals and Health Care

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