Senior
Devoted Health Services, Inc · Remote USA · Remote
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Design and run cost accounting, allocation and profitability models to inform healthcare business decisions.
Worth knowing: Healthcare services or health insurance experience preferred
Job Description Your Responsibilities and Impact will include: Direct cost accounting policies, controls, and reporting to drive financial and growth objectives. Architect and scale the cost accounting framework, including expense allocation methodologies across all business segments and legal entities. Deliver market and product-level profitability analysis to guide leadership on margin optimization. Supporting the financial mechanics of intercompany arrangements, including cost allocation, transfer pricing inputs, and reporting requested by internal and third-party counterparties. Building and maintaining driver-based financial models that connect membership growth, staffing decisions, and vendor spend to the P&L and cash. Supporting or owning aspects of the monthly close related to cost, including accruals, allocations, variance analysis against budget and forecast, and management reporting packages that lead with drivers rather than restated numbers. Building business cases and ROI analyses, vendor and build-versus-buy decisions, market expansion and headcount investment, and then holding those investments accountable to what was modeled. Being an integral part of a cross-functional team focused on continuous improvement and standardization of policy, process and control, with a heavy emphasis on technology development and shifting our reporting out of spreadsheets and into scalable, self-service tooling. Supporting our market, network, and clinical teams with the education, tools, analysis, and supplemental reporting they need to manage their own cost performance. Ownership and responsibility for satisfying applicable audit, examination and other regulatory or compliance related inquiries and requests. Required skills and experience: A minimum of 5–10 years of finance and/or accounting experience. Demonstrated hands-on cost accounting experience including allocation methodology, cost center design, unit cost or product-level costing, and the discipline to defend how a number was built. Core FP&A or accounting experience: cost accounting, budgeting, forecasting, long-range planning, variance analysis, and management reporting. Advanced financial modeling skills, including comfort working with large and imperfect data sets, AI, and/or a BI platform Deep understanding of ERP or planning systems, or in standing up a cost allocation model from scratch.
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