1. Lead annual operating budget development, including staffing per unit standards, revenue/expense targets, and coordination of assumptions with department leaders.
2. Maintain disciplined monthly budget variance reporting; investigate root cause drivers and partner with leaders to implement corrective actions and sustainable process improvements.
3. Ensure accurate financial reporting by validating that revenues and expenses are recorded to appropriate general ledger accounts; support month-end close analysis and audit requests as assigned.
4. Manage financial systems and data integrity (budget uploads/downloads, general ledger updates, and report logic) to enable reliable monitoring, dashboards, and analysis.
5. Drive labor productivity performance through maintenance of labor standards, biweekly/monthly monitoring, peer comparisons, and identification of labor cost savings opportunities.

Responsibilities for Decision Support Analyst:

• Develop and maintain decision support reporting and dashboards in Power BI (including Power Query/DAX as applicable) to translate data into actionable insights for leaders.
• Use SQL querying and advanced Excel modeling to build datasets and perform ad hoc analyses (volume, case mix, cost, margin, utilization, and throughput) and clearly communicate findings, assumptions, and recommendations.
• Partner with clinical, operational, and IT stakeholders to gather requirements, translate business needs into reporting specifications, and ensure reporting solutions meet end-user needs.
• Provide consultative decision support to leaders by translating business questions into analyses, presenting clear narratives, and recommending actions.

Education:  Bachelor's degree in Business Administration, Accounting, or Finance.

Experience: 4 to 6 years’ experience at Accountant level with minimum of 3 years’ experience in organizational budget planning.

Skills, Knowledge, and Abilities: 

• Requires discretion and independent judgment related to financial assessments that impact the successful business operations for the organization
• Knowledge of theory and application of general, financial, and budget accounting
• Knowledge of healthcare finance and reimbursement
• Knowledge of budgeting and labor productivity management systems and their uses
• Possess technical and professional accounting skills and familiarity with data processing capabilities and procedures
• Knowledge of Microsoft Office products and or comparable spreadsheets and word processors
• Ability to develop and maintain effective working relationships with others

Reimbursement Analyst:

• Maintain disciplined monthly reimbursement and net revenue variance reporting; investigate drivers and communicate actionable insights.
• Develop, maintain, and validate reimbursement models/rate calculators, document assumptions, sources, and version control.
• Interpret payer contracts and payment methodologies, translating terms into monitoring routines, reconciliations, and performance scorecards.
• Identify underpayments, payment variances, and trends; support claim-level and summary-level reconciliations and timely escalation/resolution.
• Communicate results clearly through dashboards, summaries, and presentations tailored to technical and non-technical stakeholders.

Decision Support Analyst:

• Experience building and maintaining operational/financial reporting (e.g., Power BI or comparable tools) and communicating trends, outliers, and key drivers.
• Ability to query, validate, and reconcile data (e.g., basic SQL or report-writer querying), ensuring accuracy, completeness, and auditability of decision support outputs.
• Ability to partner with clinical and operational stakeholders, facilitate requirements, and present analyses with clear narratives, assumptions, and recommended actions. 
• Strong analytical and data management skills, including advanced Excel (pivot tables, Power Query) and comfort working with large datasets from multiple source systems.