Decision Support Analyst (2026-0919)

Valley Medical Center & Clinics; Renton (WA); On-site; USD 95,000 - 142,000; Full time

Job summary

Valley Medical Center & Clinics is seeking a Decision Support Analyst to support organizational decision-making by collecting, validating, and interpreting healthcare, finance, cost accounting, and operational data. You will partner with senior analysts, Finance, and IT to develop reports, run analyses, and support cost accounting methodologies that inform hospital operations and financial planning.

The role entails building pro-forma income statements, maintaining data systems, and contributing

Qualifications

• Bachelor's degree in business, finance, accounting, healthcare administration, data analytics, or a related field required.
• Minimum of five years of experience in healthcare analytics, financial analysis, decision support, cost accounting, or a related field required.
• Experience with healthcare, financial, operational, or cost accounting data reporting, analysis, and reconciliation.
• Proficiency in Microsoft Excel required; experience with SQL, data query tools (Power BI, Tableau, Epic Reporting) preferred.
• Understanding of cost accounting principles, cost structures, allocation methodologies, and data analysis techniques.

Responsibilities

• Collect, validate, reconcile, and analyze healthcare, finance, cost accounting, and operational data.
• Develop and maintain routine and ad hoc reports, dashboards, and analyses.
• Prepare revenue, expense, profitability, and cost analyses for financial planning.
• Support development and validation of decision support models and cost models.
• Reconcile cost accounting results to general ledger and identify variances and improvements.
• Collaborate with Finance and IT to automate processes and deliver actionable insights.

Skills

Excel

SQL

Power BI

Tableau

Epic Reporting

Data Validation

Cost Accounting

Education

Bachelor's degree in business, finance, accounting, healthcare administration, data analytics, or related field

Tools

SQL

Power BI

Tableau

Epic Reporting

Excel

Job description

Job Title: Decision Support Analyst

Req: 2026-0919

Location: VMC Main Campus

Department: Treasury Services

Shift:

Type: Full Time

FTE: 1

Hours:

City State: Renton, WA

Category Professional ( NCNM)

Salary Range: Min $94,894 - Max $142,341/annual DOE

Job Description:

JOB DESCRIPTION

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.

TITLE: Decision Support Analyst

JOB OVERVIEW: The Decision Support Analyst supports organizational decision-making by collecting, validating, analyzing, and interpreting healthcare, finance, cost accounting, and operational data. This role partners with senior analysts, Finance, operational leaders, Information Technology to develop reports, conduct analyses, maintain data systems, develop pro-forma income statements, and support cost accounting methodologies that inform hospital operations, patient care, service line performance, and financial planning. The Analyst works with moderately complex datasets and contributes to routine and ad hoc reporting, cost model validation, overhead and indirect cost allocation, service line and procedure-level cost analysis, and documentation of decision support and cost accounting processes while continuing to build expertise in healthcare analytics and decision support systems.

DEPARTMENT: Treasury

HOURS OF WORK: Typically, Monday - Friday 8:00 am - 4:30 pm

REPORTS TO: Director Treasury Operations

Prerequisites:

Bachelor's degree in business, finance, accounting, healthcare administration, data analytics, or a related field required.

Minimum of five years of experience in healthcare analytics, financial analysis, decision support, cost accounting, or a related field required.

Experience working with healthcare, financial, operational, or cost accounting data, including reporting, analysis, and reconciliation activities required.

Proficiency in Microsoft Excel required; experience with SQL, data query tools (Power BI ,Tableau ,Epic Reporting), reporting systems, or business intelligence applications preferred.

Understanding of financial concepts, cost accounting principles, cost structures, allocation methodologies, and data analysis techniques, including familiarity with healthcare operations, billing, clinical, budget, or general ledger systems.

Strong analytical, problem-solving, communication, organization, process documentation, and attention-to-detail skills, with the ability to manage multiple priorities and meet deadlines.

Understanding of cost accounting fundamentals, including direct and indirect costing, overhead allocation, allocation drivers, cost center structures, service line profitability, and chart of account relationships.

Ability to validate and reconcile data, apply basic statistical concepts, analyze trends, investigate variances, and explain differences between cost models, allocation outputs, and actual financial results.

Qualifications:

Working knowledge of healthcare financial, clinical, operational, billing, decision support, general ledger, budget, data warehouse, and cost accounting systems.

Ability to create pro-forma income statements and support service line, contribution margin, profitability, and financial performance analyses.

Ability to develop, maintain, validate, and document allocation methodologies, assumptions, cost drivers, process controls, and related cost accounting procedures.

Experience evaluating expense classifications, cost center mappings, and chart of account relationships preferred.

Strong organizational, teamwork, communication, problem-solving, and attention-to-detail skills, with the ability to learn new systems, tools, and processes quickly.

Unique Physical/Mental Demands, Environment, And Working Conditions:

See Generic Job Description for Administrative Partner.

Performance Responsibilities:

Generic Job Functions: See Generic Job Description for Administrative Partner.

Essential Responsibilities And Competencies:

Collect, validate, reconcile, and analyze healthcare, finance, cost accounting, and operational data to ensure accuracy, integrity, and consistency across reporting sources.

Develop and maintain routine and ad hoc reports, dashboards, and analyses that support operational, financial, cost accounting, service line, and decision support needs.

Prepare revenue, expense, utilization, profitability, contribution margin, service line, cost trend, and pro-forma analyses to support financial planning and performance review.

Support the development, maintenance, monthly processing, and validation of decision support models, cost models, reporting tools, data structures, cost accounting hierarchies, cost center mappings, and chart of account relationships.

Reconcile cost accounting system results and model outputs to the general ledger, financial statements, ancillary feeder systems, and other source systems; identify variances, root causes, corrections, and methodology refinements.

Develop, maintain, document, and periodically validate methodologies for assigning direct costs and allocating overhead, indirect costs, shared services, support departments, and other expenses across departments, service lines, procedures, programs, and reporting dimensions.

Review allocation statistics, cost drivers, source data, expense classifications, cost center assignments, and data mappings; recommend reclassifications or mapping changes to improve cost reporting and financial analytics.

Support department, service line, procedure-level, and patient-level cost models, including documentation of assumptions, data sources, allocation calculations, reconciliations, process controls, and methodology changes for management review or audit support.

Partner with Finance, operational leaders, senior analysts, Information Technology, and other stakeholders to understand reporting needs, validate data, automate processes, explain allocation results, and deliver actionable decision support solutions.

Support annual budget, forecasting, financial planning, service line analysis, process improvement, reporting standardization, automation initiatives, department projects, and other assigned initiatives.

Perform other duties as assigned.

Created: 11/23

Revised: 8/26

Grade: NC-11

FLSA: E

CC: 8509

Qualifications:

Job Qualifications:

Working knowledge of healthcare financial, clinical, operational, billing, decision support, general ledger, budget, data warehouse, and cost accounting systems.

Ability to create pro-forma income statements and support service line, contribution margin, profitability, and financial performance analyses.

Ability to develop, maintain, validate, and document allocation methodologies, assumptions, cost drivers, process controls, and related cost accounting procedures.

Experience evaluating expense classifications, cost center mappings, and chart of account relationships preferred.

Strong organizational, teamwork, communication, problem-solving, and attention-to-detail skills, with the ability to learn new systems, tools, and processes quickly.