Financial Decision Support Manager

Bayhealth; Dover (DE); On-site; USD 111,000 - 172,000; Full time

Benefits offered by this job

Paid Time Off

401(k) Matching

Health Insurance

On-site Child Care

Job summary

Bayhealth Medical Center, a leading healthcare provider in Kent and Sussex Counties, seeks a Financial Decision Support Manager to oversee the cost accounting system, STRATA-based profitability analysis, and major financial planning projects onsite in Dover, DE.

The role publishes monthly P&L statements for service lines and physician practices, and supports external audits with STRATA forecasting. Requires 10+ years in healthcare cost accounting and STRATA experience.

Qualifications

• Bachelor's degree in Accounting, Finance or related field.
• Minimum 10 years’ experience in cost accounting, budgeting and/or decision support in healthcare.
• Experience with STRATA financial software.

Responsibilities

• Develops financial feasibility, cost and reimbursement templates using STRATA to evaluate ROI, payback, NPV and IRR.
• Reviews service line profitability with leadership and assists with performance improvement plans.
• Completes survey and annual insurance renewal applications and compiles data for audits.
• Trains managers to interpret productivity software and generates ad hoc reports.
• Oversees STRATA forecasting module implementation and maintenance.
• Provides software implementation oversight (ERP, Leasing) as needed.
• All other duties within scope of job responsibilities.

Skills

Cost accounting

Budgeting

Decision support

STRATA software

Financial reporting

Education

Bachelor's degree in Accounting/Finance

Master's degree in Business Administration or Health Administration

Tools

STRATA

ERP software

Job description

Financial Decision Support Manager(Job Id 17922)

Location
US:DE:Dover

Post Date
10/26/2026

Category
Professional

Employment Type
Employee

Description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital - Onsite in Dover, DE

Status: Full Time 80 Hours

Shift: Days

SALARY RANGE: 111,155.20 - 172,286.40YEARLY

General Summary:

Responsible for management of the Cost Accounting system used for service line profitability analysis. Manages productivity system and responsible for reporting to rating agencies such as S&P, Fitch, DAC, EMMA and other external agencies. Oversees utilization of Decision Support system in support of major strategic and financial planning projects. Publishes monthly service line Profit & Loss statements (P&Ls) and physician practice P&Ls and practice scorecards. Reviews all feasibility studies prepared using STRATA software. Assists with the implementation and on-going maintenance of the STRATA rolling forecast module.

Please note this Management role is an onsite position in the Dover, DE area.

Responsibilities:

1. Develops financial feasibility, cost and reimbursement templates using the STRATA system determining Return on Investment (ROI), payback period, Net Present Value (NPV), Internal Rate of Return (IRR) and other financial metrics used to evaluate competing capital projects.

2. Establishes routine meetings with leadership to review service line profitability and assists with developing performance improvement plans for service lines with unfavorable variances to budget. Validates cost structure updates for accuracy.

3. Completes survey and annual insurance renewal applications and compiles data for FEMA and/or Single Audits and generate reports for GME reporting. Provide documentation for operational and administrative decisions affecting finance, labor utilization, and budget development.

4. Trains managers and directors to interpret and use productivity software Manages the requests for ad hoc reports. Generate reports needed for annual financial audit, cost report filing, community benefit reporting from STRATA.

5. Mentor the supervisor of decision support and special projects analyst.

6. Provides oversight to software implementations as needed including components of ERP, and Leasing software. Assists with the implementation of the STRATA forecasting module

7. All other duties as assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

• Education: Bachelor Degree in Accounting,Finance or related field of study.
• Credential(s): None required.
• Experience: Minimum of 10 years’ experience in cost accounting, budgeting and/or decision support. Healthcare experience. Experience working with STRATA financial software.

Preferred Education, Credential(s) and Experience:

• Education: Master Degree in Business Administration or Health Administration
• Credential(s): Financial and/or healthcare certifications.
• Experience: Experience in hospital or healthcare contracting and/or reimbursement. Familiar with bundled payments and physician reimbursement.

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