Sr Decision Support Analyst

San Juan Regional Medical Center•Farmington, NM

About The Position

The Senior Decision Support Analyst serves as a strategic partner to executive leadership, providing advanced financial, operational, and clinical analytics to support data-driven decision-making. This role is responsible for overseeing decision support functions including cost accounting, service line analytics, budgeting support, and data governance, while supervising and developing junior analysts.

Requirements

Bachelor’s degree required in Finance, Mathematics, Statistics, Computer Science, or a related field; equivalent combination of education and relevant work experience may be considered in lieu of a degree
Demonstrated knowledge of statistical analysis and modeling techniques, with the ability to apply these methods to financial and operational healthcare data
Advanced analytical skills, proven ability to interpret and explain complicated statistical analysis; proficiency working with complex information management, financial, and analytical systems; Advanced interpersonal and communication skills, Microsoft Office skills (verbal and written)
Advanced Excel skills, such as data simulation, power pivot, power query, complex data analyses, advanced formulas, charts and graphs, advanced charting, data validation, etc.
Data mining
Knowledge of any data visualization tool
Ability to work autonomously
Demonstration of critical thinking.
Validate reports/analyses to ensure accuracy via comparison to internal and external benchmarks
Thorough knowledge of accounting policies, procedures, controls, and system

Nice To Haves

SQL knowledge and utilization to create ad-hoc queries against databases
Knowledge of hospital decision support and EMR systems, StrataJazz Decision , Workday and Cerner preferred
Understanding of healthcare coding systems (e.g., ICD-10-CM/PCS, UB-04, HCPCS, MS DRG, CPT, etc.)
Familiarity with commercial HMO/PPO, Medicare, and Medicaid reimbursement mechanisms for hospitals and physicians
Experience with hospital Medicare cost report preparation

Responsibilities

Directly support leadership in the coordination of the annual operating budget, including volume, revenue, expense, and FTE planning
Prepare monthly forecasts and long-term financial projections
Develop revenue models and IBNR analyses across service lines or product lines
Build financial models to evaluate the impact of government regulations, reimbursement changes, and market conditions on profitability
Develop financial proformas to evaluate new service lines, capital investments, and cost-saving initiatives
Support organizational decision-making through ROI analysis and financial feasibility studies
Assist in establishing and tracking key performance indicators (KPIs) across departments
Provide ongoing analytic and consultative support to operational and clinical departments
Partner with leadership to evaluate productivity, workforce planning, and operational efficiency
Develop and deliver productivity reporting and follow-up analysis
Support benchmarking initiatives across departments and service lines
Prepare variance analysis (budget vs. actual, volume, rate, mix, labor, expense drivers)
Develop and maintain financial and statistical dashboards to monitor performance at the department and service line level
Present findings through clear written reports and executive-level presentations
Maintain responsibility for costing processes, reporting, and analysis, ensuring alignment with financial statements
Prepare costing summaries and audit reports; serve as a backup for costing processes when needed
Recommend and implement enhancements to cost accounting methodologies and techniques
Analyze patient-level and financial data, identifying and resolving discrepancies with source systems
Participate in the month-end close process, including validation of financial results and preparation of supporting analyses
Partner with Accounting to ensure accurate financial reporting and reconciliation across systems
Support and enhance decision support systems, ensuring data quality, integrity, and consistency
Assist in maintaining and optimizing budgeting and planning systems
Identify opportunities to automate processes and reduce manual effort using advanced analytics tools
Lead or support system enhancements and integrations (e.g., Workday, Cerner, Strata)
Prepare and submit required regulatory reports (local, state, federal)
Prepare Medicare and Medicaid cost reports in compliance with applicable regulations
Respond to and manage third-party audit requests and correspondence