Director, Service Line Decision Support
Listed on 2026-08-22
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Management
Healthcare Management
Director Of Service Line Cost Accounting
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Director of Service Line Cost Accounting, often called Director of Decision Support, is a senior healthcare finance leader who manages the cost-accounting system to calculate the profitability of hospital-specific clinical services and physician practices. It bridges clinical operations and executive strategy to drive positive service line financial performance. Responsible for implementing, overseeing, managing staff, and providing leadership in maintaining Hackensack Meridian Health's (HMH) Network-wide Decision Support System (DSS) Enterprise Performance Management (EPM) platform.
Engages and supports HMH Service Line operational leaders and associated Business Units by providing analyses and reports. This position is also responsible for developing DSS training programs to ensure maximum utilization of the system.
A day in the life of a Director of Service Line Cost Accounting at Hackensack Meridian Health includes:
- Provide leadership in decision support by planning, coordinating, and executing cost accounting functions and provide P&L's, financial modeling and analytical templates for all CTS teams and Business Units and other designated areas.
- Provide leadership in supporting Senior CTS team and Business Unit leaders by interacting, engaging, and recommending design analysis and process improvement and cost containment initiatives.
- Conducts and develops analyses of CTS Business units and newly proposed programs and existing programs (financial modeling that includes, but is not limited to, ROI, cash flow and contribution margin analysis) and submits reports and analyses to management
- Provide leadership in overseeing Manager, DSS and other staff positions in Decision Support HPM application/structure/cost accounting.
- Provide leadership in overseeing Decision Support HPM Intermediate Product/Product Charge Description Master structure including additions, price changes and RVU's.
- Provide leadership in overseeing Decision Support HPM cost accounting system, including but not limited to:
- Maintain product standards and reconciliation process for variable direct labor & supply cost for each cost category on a monthly basis.
- Develop and maintain product standard up-dating schedule (monthly) and meet with key revenue-generating and ancillary departments to assure accuracy of products and standards.
- Maintain indirect cost allocation methodology (step-down) including departmental statistics and auditing.
- Maintain the coordination of up-dating the charge description (monthly) as it relates to product standards and new products.
- Update the Decision Support HPM structure with any changes in the general ledger (People Soft), including but not limited to:
- Reconciliation of Decision Support HPM to General Ledger Source System (People Soft)
- Reconciliation of Decision Support HPM to Financial Statements.
- Reconciliation of Decision Support HPM to Departments.
- Maintain Chart of Accounts that include adding direct/indirect cost centers, inactivating cost centers and adding accounts.
- Provides recommendations on improvements in source systems to improve accuracy and reduce maintenance effort.
- Works with senior management and department directors to educate and obtain feedback and guidance for system improvement.
- Directs and advices data management resources as needed to improve data quality and value, and utilize their skills to assist in achieving objectives.
- Implements and monitors cost accounting procedures and manages cost and revenue systems and methods for designated areas.
- Analyzes direct and indirect costs and determines proper allocation for recording…
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