Manager of Cost Accounting

About the job

Overview

The Manager, Cost Accounting is responsible for overseeing the organization's healthcare cost accounting function and maintaining the integrity of the cost accounting model used to support financial, strategic, and regulatory decision-making. This role leads the monthly costing processes, develops and maintains cost allocation methodologies, and ensures the accurate assignment of costs across hospitals, departments, service lines, physicians, and patient populations.

The Manager, Cost Accounting serves as the organization's subject matter expert for healthcare cost accounting and is responsible for the governance, maintenance, and continuous improvement of the health system's cost accounting methodologies and systems. Reporting to the Director of Decision Support, this role collaborates closely with Financial Planning & Analysis, Revenue Cycle, Supply Chain, Operations, and Information Systems to ensure cost data accurately reflects resource utilization and organizational operations.

A key responsibility of this role is partnering with operational and clinical leaders to conduct and maintain departmental time studies and workload assessments that support RVU weighting methodologies and cost allocation models.

Job Responsibilities and Essential Functions

Cost Accounting Leadership

• Oversee the integrity, maintenance, and continuous improvement of the organization's healthcare cost accounting model.
• Manage the monthly and quarterly costing processes, including data validation, reconciliations, cost assignments, and balancing procedures.
• Develop, maintain, and document methodologies that appropriately assign direct and indirect costs across departments, patient services, physicians, procedures, and service lines.
• Establish and maintain cost allocation methodologies that reflect resource utilization and operational workflows.
• Ensure consistency with organizational accounting standards, regulatory requirements, and healthcare industry best practices.
• Lead periodic reviews and refinement of costing methodologies to reflect organizational, operational, and reimbursement changes.
• Maintain documentation of cost accounting assumptions, methodologies, controls, and governance processes.

RVU Weighting and Cost Methodology Management

• Serve as the organizational leader for Relative Value Unit (RVU) and workload-based costing methodologies.
• Partner with clinical, operational, and departmental leaders to conduct periodic time studies and workload assessments.
• Evaluate staffing models, workflow changes, and operational practices to ensure appropriate assignment of labor and indirect costs.
• Develop and maintain departmental RVU weighting methodologies used within the cost accounting system.
• Review and validate workload statistics, labor drivers, and allocation bases to ensure accurate costing outputs.
• Recommend methodology enhancements to improve the accuracy and credibility of cost information across the organization.

Cost Data Integrity and System Administration

• Serve as the primary business owner and subject matter expert for healthcare cost accounting systems and associated data structures.
• Ensure the integrity and accuracy of financial, clinical, operational, payroll, supply chain, and billing data utilized in cost accounting processes.
• Collaborate with Information Systems, Revenue Cycle, Supply Chain, and Finance teams to develop, test, and implement new data feeds and system enhancements.
• Lead quality assurance reviews and data validation processes to ensure accuracy of costing results and allocation methodologies.
• Oversee periodic audits of cost accounting data, mappings, statistics, and allocation drivers.
• Maintain system tables, departmental mappings, cost-center relationships, charge master assignments, and statistical drivers within the cost accounting platform.

Cost Analysis

• Produce and distribute standard cost accounting outputs, including unit cost files and costing validation reports.
• Conduct analyses to identify anomalies, inaccuracies, or shifts in cost trends requiring methodology review.
• Provide technical expertise regarding costing methodologies and cost data interpretation to finance and operational stakeholders.

Leadership and Staff Management

• Manage and develop cost accounting analysts and other assigned financial staff.
• Establish clear goals, expectations, work procedures, and performance standards.
• Conduct performance evaluations and provide ongoing coaching and professional development.
• Foster a culture of accountability, continuous improvement, and technical excellence.
• Lead departmental initiatives and special projects related to cost accounting, costing methodologies, and system optimization.

Qualifications

Education

• Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, Economics, or related field required.
• CPA, CMA, HFMA certification, or other relevant professional credential preferred.

Experience

• Minimum of 5-10 years of progressive healthcare finance or cost accounting experience.
• Minimum of 3 years of direct healthcare cost accounting experience required.
• Experience within a hospital, integrated health system, academic medical center, or large physician enterprise strongly preferred.
• Prior leadership or supervisory experience preferred.
• Experience administering healthcare cost accounting systems such as Strata, EPSi, HPM, or similar platforms required.
• Experience developing and maintaining RVU-based costing methodologies, time studies, and allocation statistics preferred.

Knowledge, Skills, and Abilities

• Extensive knowledge of healthcare cost accounting principles, cost allocation methodologies, and RVU-based costing models.
• Strong understanding of departmental costing, labor allocation methodologies, and overhead distribution techniques.
• Knowledge of hospital operations, physician enterprise structures, reimbursement methodologies, and healthcare financial practices.
• Experience conducting and interpreting departmental time studies and workload assessments.
• Strong understanding of healthcare data sources, including financial, payroll, supply chain, operational, clinical, and billing systems.
• Advanced analytical and problem-solving skills with the ability to evaluate large and complex datasets.
• Advanced proficiency in Microsoft Excel and database analysis tools.
• Excellent verbal and written communication skills with the ability to explain complex costing methodologies to operational and finance stakeholders.
• Demonstrated ability to build collaborative relationships with clinical leaders, operational departments, and executive leadership.
• Ability to manage multiple priorities and deadlines in a complex healthcare environment.

Preferred Healthcare Experience

• Relative Value Unit (RVU), physician practice costing, ambulatory cost accounting, and hospital service costing experience.
• Experience with labor productivity statistics, workload measurement systems, and departmental benchmarking methodologies.

About Us

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

• Atlantic Health Morristown Medical Center, Morristown, NJ

• Atlantic Health Overlook Medical Center, Summit, NJ

• Atlantic Health Newton Medical Center, Newton, NJ

• Atlantic Health Chilton Medical Center, Pompton Plains, NJ

• Atlantic Health Hackettstown Medical Center, Hackettstown, NJ

• Atlantic Health Goryeb Children's Hospital, Morristown, NJ

• Atlantic Health CentraState Healthcare System, Freehold, NJ

• Atlantic Medical Group

• Atlantic Visiting Nurse

• Atlantic Mobile Health

• Atlantic Rehabilitation

We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:

• Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For."

• Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the “World’s Best Hospitals” in 2026.

• Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings.

• Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.

• Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.

• Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026.

• Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.

• Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025.

• Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

• Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)

• Life & AD&D Insurance.

• Short-Term and Long-Term Disability (with options to supplement)

• 403(b) Retirement Plan: Employer match, additional non-elective contribution

• PTO & Paid Sick Leave

• Tuition Assistance, Advancement & Academic Advising

• Parental, Adoption, Surrogacy Leave

• Backup and On-Site Childcare

• Well-Being Rewards

• Employee Assistance Program (EAP)

• Fertility Benefits, Healthy Pregnancy Program

• Flexible Spending & Commuter Accounts

• Pet, Home & Auto, Identity Theft and Legal Insurance

Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran

Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission.

Additional Information

• Job Identification: 33568
• Job Category: Finance/Accounting/Billing/PFS
• Posting Date: 2026-10-14
• Job Schedule: Full-Time
• Locations: 475 South St, Morristown, NJ, 07960, US
• Minimum Salary (Hourly Rate): 74.670000
• Maximum Salary (Hourly Rate): 131.440000
• Assignment Category: Full-time
• Hours per Week: 37.5
• Primary Shift: Day
• Work Schedule: 8 am - 4 pm
• Days and Shifts: M-F 8am to 4pm
• On Call Expectations: N/A
• Weekends Expectations: N/A
• Department: 101000083494 - Financial Planning & Analysis
• Division: Corporate
• Specialty: Other
• Service Line: Other
• Region: Corporate
• Salary Admin Plan: MGR
• Overtime Status: Exempt