GENERAL OVERVIEW:
This job will support finance and operational leadership with advanced patient cost analytics, including statistical analysis, predictive modeling and data visualization. The cost accounting team specifically uses a combination of analytical tools that combine clinical, payroll and financial information to calculate the complete cost of patient care and translate that to making informed decisions about capital investments, support payor negotiations, and answer numerous financial what if scenarios. Under the direction of the Director, Cost Accounting, this incumbent leads all operational cost accounting activities for the Network.
ESSENTIAL RESPONSIBILITIES
- Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. (25%)
- Establish and maintain consistent guiding principles for cost accounting across all network entities, including cost type definitions (variable/fixed; direct/indirect), indirect cost allocation methodologies, and direct cost assignments to patient care activities. Includes working with responsible finance team members to generate and maintain cost center hierarchy definitions and any other identifiers required to ensure the proper categorization and allocation of costs. (15%)
- Provide direction to cost analysts responsible for:
- (10%) Day-to-day activities related to generating and maintaining cost allocation rules and processes to produce actionable and materially accurate patient care cost information for each fiscal year, including periodic updates required to assign cost to new activities and supplies. (10%)
- (10%) Utilize decision support tools (I.e. SAS, Excel, Tableau, Alteryx, etc.) to produce reports and analyses for members of decision support teams and leadership that call attention to opportunities and provide recommendations in easily understandable and interactive visual formats to:
- diagnose the financial health and viability of various clinical delivery methods and settings to identify how to keep quality healthcare accessible and affordable
- enable institute level financial reporting based on primary diagnosis data
- inform payor reimbursement discussions
- develop business cases in support of long-term operating strategies
- prioritize capital equipment purchases and real estate development projects
- Develop and empower the team through mentoring and coaching in conjunction with company-endorsed education and training resources. Requires the ability to identify growth opportunities that support personal development, business goals and core behaviors. (10%)
- Actively develop and maintain collaborative relationships with hospital leaders and clinical teams to develop accurate and timely cost and productivity metrics. This includes leading complex discussions that translate clinical activity to productivity metrics using a combination of analytical tools, site visits and video communications. Excellent people skills with a focus on customer service is essential. (10%)
- Provide training and assistance to departments across the enterprise who use cost data and related reporting tools to ensure adequate understanding of the data and proper usage. (10%)
- Manage and coordinate processes for maintaining data credibility through compliance with objective standards deemed appropriate by leadership, as well as diligent and timely data processing procedures, audits, and reconciliation practices. (5%)
- Other duties as assigned. (5%)
QUALIFICATIONS:
Minimum
- Bachelor's Degree in Accounting or or relevant experience and/or education as determined by the company in lieu of bachelor's degree
- 3 years in a leadership or management role
- 3 years of database development
- 3 years with cost accounting
- Advanced Excel skills
- Ability to adapt to changing computer technologies
- Strong understanding of relational database structures, applications, and transactional systems
Preferred
- 3 years in Healthcare systems
- Certified Public Accountant (CPA)
- Certified Managerial Accountant (CMA)
- Certified Healthcare Financial Professional (CHFP)
- Understanding of SQL, macros and visual basic.
- Experience using healthcare-specific cost accounting systems such as EPSi, StrataJazz, etc.
- Strong comprehension and communication skills. (Comprehends general business concepts demonstrated by the ability to read and discuss professional communications such as industry news, technical procedures, and government regulations. Written communication skills include: the ability to write reports, use e-mail appropriately, and present information in an organized way. Oral communication skills; the ability to respond to inquiries and complaints in a constructive manner, articulate complex subject matter to a broad audience to include Senior Leadership, and public speaking to large audiences of diverse management levels.)
- Ability to identify and define complex scenarios, gather facts, and draw valid conclusions; be able to present findings and recommended course of action to the appropriate audience.
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$42.13Pay Range Maximum:
$66.99Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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For accommodation requests, please contact HR Services Online at [email protected]
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Skills Required
- Bachelor's degree in Accounting or relevant experience and/or education in lieu of a bachelor's degree
- Three years of experience in a leadership or management role
- Three years of database development experience
- Three years of cost accounting experience
- Advanced Microsoft Excel skills
- Ability to adapt to changing computer technologies
- Strong understanding of relational database structures, applications, and transactional systems
- Three years of experience with healthcare systems
- Certified Public Accountant certification
- Certified Management Accountant certification
- Certified Healthcare Financial Professional certification
- Understanding of SQL, macros, and Visual Basic
- Experience with healthcare-specific cost accounting systems such as EPSi or StrataJazz
- Strong written, oral, comprehension, and communication skills
- Ability to analyze complex scenarios, draw valid conclusions, and present recommendations
Highmark Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Highmark Health and has not been reviewed or approved by Highmark Health.
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Healthcare Strength — Medical, prescription, dental, and vision coverage are emphasized alongside 100% coverage for preventive exams, with onsite pharmacy access and fitness center availability at major campuses.
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Retirement Support — An employer‑sponsored 401(k) with a company match is highlighted, with AHN materials illustrating a 100% match on the first 4% plus an additional 1% employer contribution as an example within the enterprise.
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Wellbeing & Lifestyle Benefits — Wellness programs include stress‑management classes, health coaching, incentives for healthy activities, team‑member discounts, and volunteer incentives, with paid volunteer time also noted in the overall package.
Highmark Health Insights
What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions. We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.







