Strategic Cost Accounting & FP&A Lead

Devoted Health; Waltham (MA); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Comprehensive health plan

401K retirement plan

Lyra mental health resources

Generous vacation and holiday time

Stock options

Job summary

Devoted Health is seeking a senior cost accountant to architect and scale the cost framework, linking membership growth, staffing, and vendor spend to the P&L with driver-based analyses. You will own allocation methodologies, cost centers, and product-level costing while supporting the monthly close.

You will build scalable, self-service reporting, partner with market, network, and clinical teams, and lead audits and regulatory inquiries.

Qualifications

• Hands-on cost accounting experience including allocation methodology and cost center design.
• Advanced financial modeling with large data sets, AI, and BI platforms.
• Ability to explain financial results clearly to non-finance audiences.
• Thrives in a fast-paced startup where priorities shift and processes are built.
• Core FP&A experience: budgeting, forecasting, variance analysis, and management reporting.
• Healthcare services/health insurance experience preferred.

Responsibilities

• Define direct cost accounting policies, controls, and reporting to drive financial and growth objectives.
• Architect and scale the cost accounting framework across all business segments and legal entities.
• Deliver market and product-level profitability analysis to guide leadership on margin optimization.
• Support intercompany cost allocations, transfer pricing inputs, and related reporting.
• Build driver-based financial models linking membership growth, staffing decisions, and vendor spend to P&L and cash.
• Support monthly close related to cost including accruals, allocations, and variance analysis with driver-focused reporting.
• Develop business cases and ROI analyses, vendor decisions, and headcount investments with modeled outcomes.
• Collaborate with cross-functional teams to standardize policy, process, and control with self-service tooling.
• Educate market, network, and clinical teams with tools and reporting to manage cost performance.
• Handle audit, examination, and regulatory inquiries and requests as needed.

Skills

Cost accounting

Financial modeling

ERP systems

Data analysis

BI platform

Budgeting & forecasting

Variance analysis

Communication

Startup environment

Education

Bachelor's degree in accounting/finance/business

Graduate degree preferred

Tools

ERP systems

BI tooling

Job description

Devoted Health is seeking a senior cost accountant to architect and scale the cost framework, linking membership growth, staffing, and vendor spend to the P&L with driver-based analyses. You will own allocation methodologies, cost centers, and product-level costing while supporting the monthly close.

You will build scalable, self-service reporting, partner with market, network, and clinical teams, and lead audits and regulatory inquiries.