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Cost Accountant

Job in Setauket, Suffolk County, New York, USA
Listing for: Stony Brook Medicine
Full Time position
Listed on 2026-08-13
Job specializations:
  • Accounting
    Financial Analyst, Financial Reporting
  • Finance & Banking
    Financial Analyst, Financial Reporting
Salary/Wage Range or Industry Benchmark: 63672 - 81713 USD Yearly USD 63672.00 81713.00 YEAR
Job Description & How to Apply Below
Location: Setauket

Position Summary

At Stony Brook Medicine, our Financial Analyst, Cost Accountant is a valuable member of our Strategic Analytics team. The Financial Analyst completes and maintains the build and functionality within the Syntellis (formerly McKesson) Decision Support Cost Model. They execute and validate cost accounting jobs and yielded results on a recurring basis. This position also produces and documents costing used in Strategic Analytic reports and/or the Business Intelligence tool.

This position works closely with others in Finance and clinical departments.

Duties of a Cost Accountant may include the following, but are not limited to:
  • Completes and maintains the build and functionality within the Syntellis Cost Model.
  • Maintains and modifies the data structure around all aspects of our cost accounting model including General Ledger (GL), Payroll, Revenue and Expense Reclassifications, Overhead Allocations, Activity and Encounter Costing.
  • Modifies and creates monthly statistics, documenting any changes in methodology.
  • Executes and validates cost accounting jobs and yielded results on a recurring basis.
  • Runs costing jobs in a timely and efficient manner by referring to a task calendar containing current and expected scheduled jobs.
  • Assists in the validation that the cost methodology produces accurate results.
  • Creates worksheets in Syntellis that contain cost fields (via formulas or existing) that align with business needs or requirements for specific analyses.
  • Assists in reviewing and validating costs utilizing the Hospital’s BI tool at the completion of every costing cycle and/or refresh.
  • Assists Sr. Analyst with validation of data to our Decision Support System.
  • Assists in monthly processing and auditing of GL and Payroll files into Decision Support system, including batch set up, preparation and maintenance as relates to cost accounting processing
  • Assists in weekly auditing of billing data Integrated into the system.
  • Runs and downloads reports to Excel in support of revenue calculations and field audits.
  • Performs other work-related duties as assigned.
Qualifications

Required Qualifications
  • A minimum of a Bachelor's degree in Accounting, Business, Finance, or related field.
  • A minimum 2 years' progressive finance experience.
  • Advanced Microsoft Office, and Excel skills.
  • Strong analytical skills with ability to collect, organize, synthesize and disseminate significant amounts of information with attention to detail and accuracy.
  • Strong interpersonal and communication skills to effectively interact with employees at all levels of the organization.
Preferred Qualifications
  • Knowledge of hospital financial analysis and cost accounting.
  • Experience with accounting concepts, budget processes, analytics and planning, service line profitability, forecasting concepts in a healthcare setting.
  • Experience with integration and interfacing of data feeds from hospital source systems to Decision Support, Cost Accounting Systems.
  • Experience with SQL or building Tableau dashboards.
Please Note

Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.

Special Notes

Resume/CV should be included with the online application.

Posting Overview

This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position;

however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

  • Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
  • All Hospital positions may be subject to changes in pass days and shifts as necessary.
  • This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
  • This function/position may be designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements
  • Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
  • Complete electronic…
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