Senior Decision Support Analyst

Frederick Fox LLC

Farmington (NM)

On-site

USD 110,000 - 145,000

Full time

3 days ago

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Job summary

Frederick Fox LLC in Farmington, NM seeks a Senior Decision Support Analyst to lead advanced financial and operational analysis for budgeting, forecasting, variance analysis, and decision support across the organization.

You will oversee cost accounting, service line analytics, revenue modeling, and ROI/pro forma analyses, partnering with CFO, COO, and clinical leadership, and mentoring junior analysts while ensuring accurate, timely reporting.

Qualifications

Bachelor's degree in Finance, Mathematics, Statistics, Computer Science, or related field.
Advanced proficiency in Microsoft Excel, including:
Power Pivot
Power Query
Advanced financial modeling
Experience with Strata or comparable healthcare decision-support systems.
Experience with Workday ERP or a comparable ERP.
Experience with EMR systems, preferably Cerner.
Strong analytical, financial modeling, forecasting, and problem-solving abilities.
Excellent communication skills presenting financial information to executive and clinical audiences.

Responsibilities

Oversee cost accounting activities and detailed analysis of performance.
Perform service line analytics: revenue, cost, utilization, profitability.
Develop and maintain budgets, forecasts, financial models, long-range planning.
Conduct monthly variance analysis and identify key drivers.
Develop dashboards and management reports for trends.
Build revenue models and ROI/pro forma analyses for initiatives.
Support month-end close through analysis, reconciliation, reporting.
Assist with Medicare/Medicaid cost report preparation and analysis.
Extract and analyze data from ERP, EMR, and other systems.
Perform ad-hoc financial analyses using SQL and other tools.
Present findings to CFO, COO, and clinical leadership.
Mentor junior analysts and ensure accuracy and timeliness.

Skills

Advanced Excel

Financial modeling

Forecasting

Problem solving

Executive presentation

Leadership

Education

Bachelor's degree in Finance, Mathematics, Statistics, Computer Science

Tools

Excel (Advanced)

Power Pivot

Power Query

Strata

Workday ERP

Cerner EMR

SQL

Job description

Senior Decision Support Analyst

Position Overview

The Senior Decision Support Analyst provides advanced financial and operational analysis to support strategic and day-to-day decision-making across the organization. This role is responsible for cost accounting oversight, service line analytics, budgeting and forecasting, variance analysis, dashboard reporting, revenue modeling, ROI and pro forma analysis, and month-end close support.

The Senior Decision Support Analyst also supports Medicare and Medicaid cost report preparation and works closely with finance, accounting, clinical, and operational leadership. The position presents analytical findings directly to the CFO, COO, and clinical leadership and provides supervision, training, and mentorship to junior analysts.

Key Responsibilities

Oversee cost accounting activities and provide detailed analysis of financial and operational performance.
Perform service line analytics, including revenue, cost, utilization, and profitability analysis.
Develop and maintain budgets, forecasts, financial models, and long-range planning analyses.
Conduct monthly variance analysis and identify key drivers affecting financial performance.
Develop dashboards and management reports to communicate financial and operational trends.
Build revenue models and perform ROI and pro forma analyses for business initiatives and service lines.
Support the month-end close process through analysis, reconciliation, and reporting.
Assist with Medicare and Medicaid cost report preparation and related financial analysis.
Extract and analyze data from ERP, EMR, decision-support, and other healthcare systems.
Perform ad-hoc financial and operational analyses using SQL and other analytical tools.
Present findings and analytical insights directly to the CFO, COO, clinical leadership, and other key stakeholders.
Partner with finance, accounting, clinical, and operational teams to identify opportunities for improved financial performance and decision-making.
Supervise, train, and mentor junior analysts.
Ensure reports, models, dashboards, and analyses are accurate, timely, and consistent with organizational requirements.

Required Qualifications

Bachelor’s degree in Finance, Mathematics, Statistics, Computer Science, or a related field.
Equivalent professional experience may be considered in lieu of a degree.
Advanced proficiency in Microsoft Excel, including:
Power Pivot
Power Query
Advanced financial modeling
Experience with Strata or comparable healthcare decision-support systems.
Experience with Workday ERP or a comparable enterprise resource planning platform.
Experience working with EMR systems , preferably Cerner.
Strong analytical, financial modeling, forecasting, and problem-solving abilities.
Excellent communication skills with the ability to present complex financial information to executive and clinical audiences.

Strongly Preferred Qualifications

Previous healthcare or hospital decision-support experience, particularly in a healthcare finance or hospital environment.
Experience with SQL for ad-hoc queries and data analysis.
Knowledge of healthcare coding and classification systems, including:
ICD-10
UB-04
HCPCS
MS-DRG
CPT
Familiarity with healthcare reimbursement methodologies, including HMO, PPO, Medicare, and Medicaid.
Experience preparing or supporting Medicare cost reports.
Knowledge of healthcare service line economics, reimbursement, utilization, and cost structures.
Experience presenting financial and operational analysis to senior executive and clinical leadership.