Healthcare Finance Decision Support Manager – StrataJazz Location: Dover, Delaware
Work Arrangement: Onsite
Employment Type: Full-Time
Salary: $111,155 - $172,286 annually
Healthcare Finance Decision Support Manager – StrataJazz / Cost Accounting / Forecasting We are seeking an experienced Healthcare Finance Decision Support Manager with strong StrataJazz / STRATA , hospital finance , cost accounting , budgeting , and financial forecasting experience.
This position will lead healthcare financial decision support activities including service line profitability, physician practice P&Ls;, cost accounting, productivity reporting, financial modeling, rolling forecasts, reimbursement analysis, and strategic financial planning .
Candidates should have significant experience working within a hospital, health system, or healthcare organization and hands-on experience with StrataJazz or STRATA Decision Support software .
This is an onsite management position in Dover, Delaware.
Key Responsibilities Manage the healthcare Decision Support and Cost Accounting system , including STRATA / StrataJazz.
Support and maintain StrataJazz Decision Support, Cost Accounting, Budgeting, and Forecasting functions.
Prepare monthly service line Profit & Loss statements (P&Ls;) and physician practice P&Ls.;
Analyze hospital and service line profitability, expenses, reimbursement, and financial performance.
Develop financial feasibility studies for strategic initiatives and capital projects.
Perform financial modeling including:
ROI
NPV
IRR
Payback period
Cost analysis
Reimbursement analysis
Assist with implementation and ongoing maintenance of the STRATA rolling forecast module .
Lead budgeting, forecasting, productivity reporting, and financial variance analysis.
Partner with hospital leadership to review service line financial performance and unfavorable budget variances.
Develop financial and operational performance improvement recommendations.
Validate healthcare cost structures and cost allocation methodologies.




Generate financial reports supporting annual audits, cost reports, community benefit reporting, GME reporting, FEMA reporting, and Single Audits.
Provide financial information for external reporting and rating agencies including S&P;, Fitch, DAC, and EMMA.
Train hospital managers and directors on productivity and financial decision support tools.
Manage ad hoc financial analysis and executive reporting requests.
Support ERP, financial system, leasing software, and decision support implementations.
Mentor Decision Support and financial analysis staff.
Work closely with Finance, Accounting, Revenue Cycle, Operations, Reimbursement, and executive leadership.
Required Qualifications Bachelor's degree in Finance, Accounting, Business, Healthcare Administration, or related field .
Minimum 10 years of experience in one or more of the following:
Healthcare Finance
Hospital Finance
Decision Support
Cost Accounting
Budgeting
Financial Planning & Analysis (FP&A;)
Financial Forecasting
Hands-on experience with STRATA or StrataJazz financial software .
Robust healthcare or hospital industry experience.
Experience with financial forecasting and budgeting .
Experience with hospital cost accounting and service line profitability .
Experience developing financial feasibility studies and financial models.
Strong knowledge of ROI, NPV, IRR, and capital investment analysis.
Strong Excel, analytical, reporting, and financial modeling skills.
Experience presenting financial information to senior leadership.
Preferred Qualifications MBA, MHA, Master's in Finance, Accounting, or related discipline.
Advanced experience with StrataJazz .
Experience with:
StrataJazz Decision Support
StrataJazz Cost Accounting
StrataJazz Planning
StrataJazz Forecasting
Rolling Forecasts
Service Line Profitability
Hospital reimbursement or healthcare contracting experience.
Physician reimbursement experience.
Bundled payment experience.
Healthcare or financial professional certification.
Previous management or supervisory experience.

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📌 Healthcare Finance Decision Support Manager - StrataJazz (Newfoundland and Labrador)
🏢 FutureSoft Consulting
📍 Newfoundland and Labrador