Director, Decision Support and Cost Accounting

Mercy
paid time off
United States, Missouri, Chesterfield
Feb 24, 2026
Find your calling at Mercy! The Director - Decision Support leads efforts in identifying, investigating, and recommending margin improvement opportunities. This role involves overseeing the Decision Support team and the Costing team, facilitating significant cross-functional collaboration, and aligning financial strategies with operational goals. This position reports to the Executive Director - Financial Planning and Capital Management, and partners with community CFOs for leading a team that delivers insights, recommendations, and results that drive margin improvement. Position Details: Qualifications * Bachelor's degree in Finance, Accounting, or related field; Master's degree preferred. * Minimum 10 years of experience in financial analysis, healthcare operations, or coding, with significant experience in a decision support setting. * Proven leadership experience in managing financial teams and driving financial performance improvements. * Strong analytical skills with the ability to translate complex data into actionable insights. * Excellent communication and interpersonal skills, with the ability to build relationships across functions and levels of the organization. * Proficiency in financial modeling and analysis tools. * Expertise in cost accounting, coding chargemaster, and revenue mapping is preferred. Competencies * Strategic Thinking * Analytical Acumen * Leadership and Team Development * Forward-facing communication to interface with all levels * Collaboration and Influence * Financial Acumen * Results-Oriented Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.