UNC Health · 1 month ago
Director Cost Accounting - Financial Planning
Morrisville, NC
Contract
Hybrid
Director/Executive
8+ years expUNC Health is an inclusive organization with over 40,000 teammates dedicated to improving health and well-being. The Director of Cost Accounting leads the cost accounting and decision support function, providing insights that inform pricing strategies and operational efficiencies.
Addiction TreatmentHealth CareHealth DiagnosticsHospitalNon ProfitWellness
Responsibilities
Lead the design, implementation, and continuous improvement of cost accounting methodologies and systems (e.g., activity-based costing, RVU-based models)
Ensure alignment with industry best practices, regulatory requirements, and organizational goals
Develop and maintain accurate cost models for departments, service lines, procedures, and payers
Provide actionable insights to support pricing strategies, contract negotiations, and margin improvement initiatives
Partner with FP&A, Revenue Cycle, and Operational leaders to deliver integrated financial performance reporting
Collaborate with clinical and operational leaders to evaluate cost efficiency, resource utilization, and ROI on strategic initiatives
Support capital planning, budgeting, and forecasting processes with cost-based insights
Manage and mentor a team of cost accountants and analysts
Foster a culture of continuous improvement, data integrity, and cross-functional collaboration
Oversee the implementation and optimization of cost accounting tools (e.g., EPSi, Strata Decision, Oracle, or similar platforms). Ensure data integration from EMR, ERP, and other financial systems
Qualification
Required
Bachelor's degree in Accounting, Finance, Economics, Health Administration, or related field required
CPA, CMA, CHFP (HFMA), FHFMA, or equivalent
8–10+ years progressive finance/accounting experience in healthcare; 5+ years dedicated to cost accounting/decision support; including at least five years in a management role
Direct experience administering Strata (StrataJazz) cost accounting—model builds, allocation methods, monthly refreshes, governance—required
Proven track record partnering with clinical and operational leaders on performance improvement and margin optimization
Proficiency with Strata (StrataJazz) modules (Cost Accounting/Margin)
Working knowledge of EHR (e.g., Epic or Cerner), GL/ERP (e.g., Oracle, Workday, PeopleSoft), Supply Chain, and Payroll/Labor systems
Understanding of DRG/APC/CPT/HCPCS, RVUs, CCRs, case mix, utilization, and service line constructs
Preferred
Master's (MBA, MHA, MS Accounting/Finance)
Familiarity with Performance, Advanced Analytics, or Productivity
Strong Excel and data skills; SQL/BI (Power BI/Tableau)
Company
UNC Health
Our mission is to improve the health and well-being of North Carolinians and others whom we serve.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Chris Ellington
President UNC Health Care - Network Hospitals and EVP CFO UNC Hospitals at Chapel Hill
Jeff Lindsay
President and Chief Operating Officer
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