Accuity partners with hospitals and health systems through a technology-enabled, physician-led model that improves clinical documentation integrity, coding accuracy, reimbursement optimization, and quality outcomes.
Director, Decision Support
Location
United States
Posted
36 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Director, Decision Support
Accuity
Director, Decision Support Department: Technology Location: Remote FLSA Status: Exempt People Leader: Yes Travel: <5% Summary Company Summary Accuity partners with hospitals and health systems through a technology-enabled, physician-led model that improves clinical documentation integrity, coding accuracy, reimbursement optimization, and quality outcomes. Job Summary The Director, Decision Support provides leadership for Accuity’s client reporting and performance analytics functions. This role ensures delivery of accurate, timely, and actionable reporting that helps internal teams and clients understand financial performance, operational trends, and program impact. The Director leads the reporting team, strengthens analytical rigor and quality control, and partners with Client Success and operational leaders to explain performance variability, identify drivers of change, and support data-informed decision making across client engagements. Responsibilities Client Reporting and Analytics - Oversee the preparation and delivery of client reporting packages, ensuring accuracy, timeliness, and consistency across engagements - Lead the development of analytical tools, supporting materials, and reporting narratives that explain monthly performance drivers - Ensure reporting logic aligns with client requirements, business rules, and established operational standards - Continuously improve reporting processes, templates, and quality checks Performance Interpretation and Decision Support - Provide senior-level interpretation of performance trends, including case mix shifts, seasonality, reimbursement mix, and operational changes - Analyze and communicate the drivers of performance variability, including CDI maturation, coding education, query adoption, and documentation improvement initiatives - Partner with Client Success and leadership teams to prepare for client discussions involving performance trends and financial outcomes - Serve as an escalation point for complex analytical questions related to reporting results and performance interpretation Reporting Governance and Quality - Establish quality control standards, review processes, and documentation requirements to ensure analytical rigor and reporting accuracy - Develop reporting governance practices that improve consistency, traceability, and confidence in client deliverables - Monitor reporting outputs for trends, anomalies, and inconsistencies and drive corrective action when needed - Partner with reimbursement and operational subject matter experts to maintain alignment between reporting outputs and underlying business logic Team Leadership and Development - Lead and mentor team members responsible for reporting production, analytics, and decision support activities - Build team capability to proactively identify trends, answer complex questions, and communicate insights clearly - Foster a culture of accountability, curiosity, continuous improvement, and strong client service - Prioritize work effectively across a fast-paced, client-driven environment while maintaining high quality standards Other Duties as Assigned - Perform additional responsibilities as needed to support organizational goals and client success Qualifications Education and Credentials - Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required - Master’s degree in Business, Finance, Healthcare, or related field preferred - HFMA, CPHIMS, or equivalent healthcare finance or analytics certification preferred Experience - 10+ years of experience in reporting, analytics, decision support, reimbursement, or revenue cycle operations required - 5+ years of demonstrated leadership experience required - Experience leading client reporting, performance analytics, or decision support functions in a healthcare environment required - Experience supporting executive-level client discussions and translating complex performance data into actionable insights required Core Competencies - Strong analytical capability with the ability to interpret complex data sets and identify trends, anomalies, and performance shifts - Ability to translate reimbursement and performance data into clear, actionable insights for internal stakeholders and client audiences - Advanced proficiency in Excel and SQL, and demonstrated experience with business intelligence platforms (e.g., Power BI, Tableau) - Ability to design and present data visualizations that communicate performance trends clearly to varied audiences - Strong communication, executive presence, and cross-functional collaboration skills - Ability to lead teams, manage competing priorities, and maintain accuracy and timeliness in a remote work environment Additional Requirements 1) Physical Requirements: The requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations. Unless otherwise indicated, Accuity positions require interaction with people and technology while either sitting or standing. Employees must be able to communicate via phone, email, etc. and sit for extended periods of time, with or without reasonable accommodations. Physical effort and exposure to physical risk are limited to that of an office role / environment. 2) Position and Employment Statement: While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. All positions at Accuity Delivery Systems, LLC, are at-will employment, and a position description is not a guarantee of a job or of job responsibilities. While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. All positions at Accuity are at-will employment, and a position description is not a guarantee of a job or of job responsibilities.
Related Guides
Related Categories
Related Job Pages
More Accounting Manager Jobs
Revenue Accounting Manager
BILLAt BILL, we believe in empowering the businesses that drive our economy. By replacing outdated financial processes with innovative tools, we help businesses—from startups to established brands—make smarter decisions and gain control of their operations. We value purpose, drive, and curiosity—and we thrive in a fast-paced, ever-changing environment. BILL builds high performing teams and we seek to hire the best talent for every role.
Role Description We are seeking an experienced Revenue Accounting Manager to join our revenue accounting team. This role is critical in ensuring accurate and compliant financial reporting related to our revenue streams. The ideal candidate will have a strong background in accounting principles, specifically ASC 606, experience with revenue accounting and accounts receivable, and a proven track record of managing complex reconciliations and processes. This position requires extensive cross-functional partnership with teams across the organization, including: - Sales Operations - Sales - Business Development - Deal Desk - Customer Success - Legal - FP&A - Data/Analytics - Revenue Operations - Product - Engineering - Finance System - Treasury - Operations Responsibilities - Contract Customer Billing: - Own end-to-end billing for a portfolio of contract and strategic partners, ensuring timely, accurate, and complete invoices in accordance with commercial terms and BILL policies. - Review customer contracts, order forms, amendments, and pricing schedules to determine appropriate billing cadence, milestones, and one-time vs recurring fees. - Partner with Sales Ops, Business Development, engineering, finance system, and Legal to ensure contract structures and billing mechanics align with revenue recognition and AR requirements. - Partner with Sales Ops, Customer Success, and deal desk teams to address customer requests. - Collections & Receivables Management: - Manage A/R aging, lead collection efforts on past-due balances, and reduce DSO and write-offs while maintaining a strong customer experience. - Collaborate with Customer Success and Sales to resolve short-pays, disputes, and unapplied cash, including recommending payment plans or settlements within policy. - Manage allowance and bad debt assessments for higher-risk accounts, ensuring supporting documentation is complete and audit-ready. - Accounts Receivable & Revenue Reconciliations: - Review monthly and quarterly reconciliations for AR, unbilled revenue, deferred revenue, contract assets/liabilities, and other revenue-related accounts, resolving variances independently as a senior revenue accountant level. - Build and maintain roll-forward schedules and supporting analyses that connect operational drivers (volumes, rates, tiers) to GAAP balances and period-over-period movements. - Design and improve reconciliation processes and controls to support SOX compliance, scalability, and automation. - Propose process improvements to reduce time spent on complex manual processes. - Revenue Reporting & Cross-Functional Analytics: - Partner with FP&A, Data/Analytics, Revenue Operations, and Product to design, modify, and maintain revenue and billing reports that support forecasting, performance metrics, and investor/management reporting. - Investigate discrepancies in reported counts, rates, or amounts (e.g., usage, volume tiers, revenue share), and resolve issues with internal and external stakeholders. - Provide revenue and AR insights (trends by product, partner, segment, and cohort) and act as a thought partner to stakeholders, translating complex accounting into clear, decision-ready narratives. - Partner with Finance transformation team to design and perform UATs for new products or existing products reporting enhancements. - Close & Compliance: - Independently own recurring month-end and quarter-end close tasks for assigned revenue and AR areas, including preparation and review of complex journal entries, reconciliations, and analyses. - Propose and prepare one-time/non-recurring journal entries for complex issues (e.g., contract amendments, corrections, new products, manual true-ups) with minimal guidance. - Ensure processes and workpapers are fully SOX-compliant, operate controls as designed, and identify control or process gaps with proposed remediation plans. - Support internal and external audits, including providing reconciliations, documentation, and process walkthroughs for revenue and AR areas. - Support monthly and quarterly financial statements reporting flux analysis and ad hoc analysis. Qualifications - Bachelor's degree in accounting or finance. CPA or equivalent is preferred. - Minimum of 5 years of experience in accounting. - Strong knowledge of GAAP, especially related to ASC 606. - Excellent analytical, problem-solving, and decision-making skills. - Effective communication skills, both written and verbal, with the ability to interact with senior management and cross-functional teams. - Track record of building out new processes. - Experience with NetSuite is a plus. - Proficient with Excel and experience with data analytical tools such as Tableau or Alteryx is a plus. - Must be a self-starter and deadline-driven to work in a fast-paced environment within tight deadlines. - Ability to think outside the box, work independently with general supervision, be a team player, and contribute beyond the defined role to meet business needs as circumstances require. Requirements - Visa Sponsorship: This position is not eligible for visa sponsorship. Applicants must have authorization to work in the United States without requiring visa sponsorship now or in the future. Benefits - 100% paid employee health, dental, and vision plans (choose HMO, PPO, or HDHP). - HSA & FSA accounts. - Life Insurance, Long & Short-term disability coverage. - Employee Assistance Program (EAP). - 11+ Observed holidays and wellness days and flexible time off. - Employee Stock Purchase Program with employee discounts. - Wellness & Fitness initiatives. - Employee recognition and referral programs. - And much more.
Sr Patient Accounting Representative, Full Time, First Shift, Remote
UC HealthUC Health is a hospital and healthcare organization that consists of the University of Cincinnati Medical Center, its flagship facility, and the state-of-the-art West Chester Hospi
Senior Patient Accounting Representative, Full Time, First Shift Account Management, Check for unpaid claim status, either electronically or by phone. Working with third party carriers or intermediaries. Following standard Operating Departmental Procedures to pursue prompt payment of Hospital claims for assigned financial classes and Payors. Responsible for collaborating with other departments to drive payer collections, communicating process issues and improvements to the Patient Account Lead
Accounting Advisory Director
KSM (Katz, Sapper & Miller)Advisory, tax, and audit firm providing visionary people with inspiration and insight to achieve great things.
• Lead complex accounting advisory engagements for private equity and corporate clients, with a primary emphasis on purchase accounting (ASC 805), opening balance sheet matters, and purchase price adjustment support • Assist in the continued development of the TAS Accounting Advisory service line through high-quality client delivery, internal collaboration, and participation in practice development initiatives • Support the growth and retention of existing client relationships while contributing to new business opportunities through internal cross-selling, marketplace visibility, and external business development efforts • Evaluate the feasibility of new service offerings and adjacent accounting advisory opportunities, helping assess market demand, team capabilities, delivery considerations, and overall strategic fit for the group • Collaborate with TAS leadership and other firm leaders to identify opportunities where Accounting Advisory can support broader client needs and complementary service offerings • Mentor, coach, and develop members of the Accounting Advisory team as the group continues to scale; provide timely feedback, strengthen team leverage, and support a consistent review process across engagements • Assist the advisory team in obtaining and preparing data for purchase accounting and purchase price adjustments, including detailed review of purchase agreements, discussions with attorneys, and an understanding of transaction mechanics across a variety of industries • Apply contractual purchase agreement elements to opening balance sheets and price adjustment mechanisms • Lead meetings with target company management and interact with executive-level stakeholders to obtain pertinent information, communicate key issues, and drive engagements forward • Own the projects assigned and move them toward and through completion, seeking assistance as needed; this includes detailed review of Senior Associate and Manager work product • Support clients in navigating post-closing disputes and other transaction-related accounting matters • Work on a variety of projects that vary in size and complexity, including but not limited to accounting investigations, internal control consulting, audit support assistance , technical accounting memo writing, and other accounting and finance-related advisory matters • Help enhance engagement execution by improving consistency, supporting efficient staffing and review practices, and contributing to a scalable team environment
Accounting Associate
HateAidWe stand up against digital violence and its consequences. Making human rights count online.
• You will record financial transactions in DATEV for financial accounting • You will manage payment transactions, related software and support liquidity management • You will share responsibility for preparing the annual financial statements and handling external audits • You will manage document filing, creditor and supplier data • You will look after our bank accounts and corporate credit cards • You will handle administrative tasks related to financial penalties assigned to HateAid • You will work with us to continuously develop the financial accounting function and our internal processes • You will support preparation of tax returns together with our tax consultancy • You will perform first-line assessments of tax issues and involve our tax consultancy when needed • You will prepare and send outgoing invoices as part of our purpose-related operations


