Cost Accounting Director

Cincinnati Children's Hospital Medical Center; Cincinnati (OH); Hybrid; USD 113,000 - 146,000; Full time

Job summary

Cincinnati Children's Hospital Medical Center is seeking a Cost Reporting Manager to lead Medicare/Medicaid cost reporting and 340b compliance for the South Campus. This hybrid role includes extensive cost accounting responsibilities and strong collaboration with Finance and HR teams.

You will oversee budgeting, internal controls, audits, and performance management to support accurate financial reporting and organizational objectives.

Qualifications

• Bachelor's degree in a related field.
• 7+ years of work experience in a related job discipline.
• Preferred: 7+ years preparing Medicare/Medicaid cost reports.
• Primary Location: South Campus; Schedule: Full time; Shift: Day (United States of America)

Responsibilities

• Medicare and Medicaid cost reports: preparation, filing, internal controls, and audits.
• 340b Registration and Compliance: manage site eligibility and annual HRSA registrations.
• Cost Accounting System Management: maintain costing data and ensure reporting validity.
• Policies & Practices: develop and enforce dept policies; liaise with leadership.
• Financial Management: manage budget, cash controls, AR, and financial reporting.
• Performance Management: lead staffing, hiring, onboarding, and HR partnerships.
• Compliance: monitor regulatory requirements and drive improvements.
• Ensure ongoing compliance and readiness plans.

Skills

7+ years of related experience

Education

Bachelor's degree in a related field

Job description

This is a hybrid position with 2 days of remote work per week.

Job Responsibilities

• Medicare and Medicaid Reimbursement - Overall accountability for the preparation and filing of the Medicare and Medicaid cost reports. Establish internal controls to ensure accuracy and completeness of the filings; implement and maintain a process for responding to auditors and managing audits of the cost reports by regulatory agencies.
• 340b Registration and Compliance - in partnership with the AVP of Pharmacy, support compliance requirements of the 340b drug discount program through management of child site eligibility and annual registration procedures with HRSA. Assist in responses to auditors as required.
• Cost Accounting System Management - maintain the cost accounting system for the Medical Center in collaboration with the information services team. Ensure costing data loaded is complete and accurate and there are internal controls to ensure reporting is valid. Assist in analytics of clinical operations costing for new clinical initiatives.
• Policies & Practices- Develop, implement and enforce policies and procedures that guide and support departmental operations and services. Interact with business and operational leaders of client divisions to identify upcoming changes to operations.
• Financial Management- Overall accountability for the financial management functions for the department. Develop, implement, evaluate and manage the department's annual and capital budget to achieve the Divisional and Departmental objectives; establish internal controls for cash management; implement and maintain a process for financial controls and external financial audits; develop and implement accounts receivable management; analyze and monitor financial performance and report financial results to stakeholders; evaluate variances, determine underlying causes and identify, present, and implement proposed solutions; establish and monitor productivity metrics; ultimate accountability for compliance with organizational financial policies and procedures
• Performance Management- Direct the development and monitoring of an effective staffing and retention strategy, including hiring and terminating employees, workforce planning, succession planning; attracting and retaining top performers, partnering with leadership and Human Resources to develop effective and appropriate recruitment packages, and effective on-boarding programs for staff; effective performance management of direct reports; in partnership with leadership, provide mentoring and development to faculty and other leaders in effective performance management; mentor and provide learning and development opportunities for direct reports and others in business roles; effectively and appropriately leveraging human resources business partners to meet the division's talent management goals; ultimate responsibility for supporting organizational programs/plans that impact employees and ensuring communication, comprehension, and adherence to all Human Resources policies and related legal and/or compliance requirements.
• Policies & Practices- Develop, implement and enforce policies and procedures that guide and support departmental operations and services. Interact with business and operational leaders of client divisions to identify upcoming changes to operations.
• Compliance- Sustain a working understanding of regulatory requirements and accreditation standards. Evaluate area of responsibility for compliance with regulatory and accreditation standards. Identify best practices as well as deficiencies to share with peers and make recommendations for improvement. Participate in the development of corrective action plans to guide needed and sustainable improvements. Ensure that compliance and readiness plans are current. Enhance relationships to promote interdisciplinary involvement and knowledge of compliance standards, status, and actions. Track laws, regulations and standards that may affect practice and policies. Work with direct reports to insure that needed changes are made by the effective date of any change(s) in requirements.

Job Qualifications

• Bachelor's degree in a related field
• 7+ years of work experience in a related job discipline
• Preferred: 7+ years preparing Medicare/Medicaid cost reports
• Primary Location: South Campus
• Schedule: Full time
• Shift: Day (United States of America)
• Department: Accounting - General
• Employee Status: Regular FTE 1
• Weekly Hours: 40*
• Expected Starting Pay Range: Annualized pay may vary based on FTE status$112,590.40 - $146,369.60

About Us

At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: Recognized by U.S. News & World Report as atop 10 best Children's Hospitals in the nation for more than 15 years Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH)Funding Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) One of the nationAmerica's Most Innovative Companiesas noted by Fortune Consistently certified as great place to work A Leading Disability Employeras noted by theNational Organization on Disability Magnet® designated for the fourth consecutive time by theAmerican Nurses Credentialing Center (ANCC)

We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.

Comprehensive job description provided upon request.

Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability