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HEALTHCARE Decision Support Manager

Job in Smyrna, Kent County, Delaware, 19977, USA
Listing for: Connections Healthcare Staffing
Full Time position
Listed on 2026-06-02
Job specializations:
  • Finance & Banking
Salary/Wage Range or Industry Benchmark: 111155.2 - 172286.4 USD Yearly USD 111155.20 172286.40 YEAR
Job Description & How to Apply Below

Our client, a hospital located on the eastern shore of DE, has a need for a Healthcare Finance Decision Support Manager to join their team.
Candidates MUST have at least 10 years of experience in cost accounting, budgeting and decision support in a HEALTHCARE facility. Candidates also MUST have STRATA experience. Please do not apply if you don’t meet these requirements.

General Summary

Responsible for management of the Cost Accounting system used for service line profitability analysis. Manages productivity system and is responsible for reporting to rating agencies such as S&P, Fitch, DAC, EMMA and other external agencies. Oversees utilization of Decision Support system in support of major strategic and financial planning projects. Publishes monthly service line Profit & Loss statements (P&Ls) and physician practice P&Ls and practice scorecards.

Reviews all feasibility studies prepared using STRATA software. Assists with the implementation and ongoing maintenance of the STRATA rolling forecast module.

Responsibilities
  • Develops financial feasibility, cost and reimbursement templates using the STRATA system, determining Return on Investment (ROI), payback period, Net Present Value (NPV), Internal Rate of Return (IRR) and other financial metrics used to evaluate competing capital projects.
  • Establishes routine meetings with leadership to review service line profitability and assists with developing performance improvement plans for service lines with unfavorable variances to budget. Validates cost structure updates for accuracy.
  • Completes survey and annual insurance renewal applications and compiles data for FEMA and/or Single Audits and generates reports for GME reporting. Provides documentation for operational and administrative decisions affecting finance, labor utilization, and budget development.
  • Trains managers and directors to interpret and use productivity software. Manages requests for ad hoc reports and generates reports needed for annual financial audit, cost report filing, community benefit reporting from STRATA.
  • Mentors the supervisor of decision support and special projects analyst.
  • Provides oversight to software implementations as needed, including components of ERP, and Leasing software. Assists with the implementation of the STRATA forecasting module.
  • Required Education, Credential(s) and Experience
    • Education:

      Bachelor Degree in Accounting, Finance or related field of study.
    • Experience:

      Minimum of 10 years’ experience in cost accounting, budgeting and/or decision support.
    • Experience with STRATA financial software is a MUST.
    • Healthcare experience.
    Preferred Education, Credential(s) and Experience
    • Education:

      Master Degree in Business Administration or Health Administration.
    • Credential(s):
      Financial and/or healthcare certifications.
    • Experience:

      Experience in hospital or healthcare contracting and/or reimbursement. Familiar with bundled payments and physician reimbursement.

    Salary range is  -

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