Healthcare Financial Advisory Manager – Decision Support & Cost Accounting

Huron • Washington, DC

2d • Remote

About The Position

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. When healthcare organizations are managing escalating financial stress, Huron recognizes the response must be urgent and direct. Huron’s industry-leading Healthcare Financial Advisory Services team works with healthcare leaders to prevent financial management missteps and prioritize business decisions that reset the financial trajectory of their organizations. Huron assists clients through improved planning, operations and managing through crises. We are seeking a Manager of Decision Support & Cost Accounting to join Huron’s Healthcare Financial Advisory services practice. In this role, you will lead the design and delivery of cost accounting and service line margin engagements for hospitals and health systems, often leveraging the StrataJazz Decision Support platform. You will apply various costing methodologies including Time-Driven Costing (TDABC) and step-down methodologies to build service line P&Ls, DRG-level cost models, and contribution margin frameworks that healthcare CFOs can act on. Beyond platform configuration, you will connect cost intelligence directly to high-stakes client decisions — payor contract preparation, service line rationalization, capital prioritization, and care variation reduction. You will play an integral role in our decision support offering, partner with project and relationship leaders in client interactions with CFO and VP Finance stakeholders, and contribute to the development of reusable engagement playbooks and delivery templates.

Requirements

• 5+ years of experience in healthcare finance consulting or healthcare provider finance, with direct responsibility for decision support, cost accounting, or service line financial analytics
• 2-3 years of hands-on experience with StrataJazz Decision Support or a comparable healthcare EPM / cost accounting platform, including direct involvement in model configuration, validation, and analysis
• Demonstrated experience building and delivering service line margin analyses, service line P&Ls, or DRG-level cost models using step-down allocation methodologies; Time-Driven Costing (TDABC) experience strongly preferred
• Proven ability to lead consulting engagements or major workstreams, including scope management, timeline management, quality control, and day-to-day client communication
• Experience translating complex cost and margin analyses into clear, decision-ready insights for finance leaders (Director, VP Finance, CFO audiences)
• Strong consulting toolkit, including client-ready deliverables, executive presentations, and financial models
• Advanced proficiency in Microsoft Excel and PowerPoint, with comfort working in detail-intensive financial models and summarizing findings for senior stakeholders
• Bachelor’s degree in Accounting, Finance, Economics, Healthcare Administration, or a related field
• Highly self-directed, analytically rigorous, and comfortable managing multiple priorities in a fast-paced consulting environment

Nice To Haves

• Advanced degree or CPA/MBA a plus

Responsibilities

• Lead the design and delivery of cost accounting and service line margin engagements for hospitals and health systems, often leveraging the StrataJazz Decision Support platform.
• Apply various costing methodologies including Time-Driven Costing (TDABC) and step-down methodologies to build service line P&Ls, DRG-level cost models, and contribution margin frameworks.
• Connect cost intelligence directly to high-stakes client decisions — payor contract preparation, service line rationalization, capital prioritization, and care variation reduction.
• Play an integral role in our decision support offering.
• Partner with project and relationship leaders in client interactions with CFO and VP Finance stakeholders.
• Contribute to the development of reusable engagement playbooks and delivery templates.
• Coach and develop junior team members, providing technical guidance, review, and feedback.

Benefits

• medical, dental and vision coverage to employees and dependents
• a 401(k) plan with a generous employer match
• an employee stock purchase plan
• a generous Paid Time Off policy
• paid parental leave and adoption assistance
• Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager