Cost Reporting/Accounting Manager

Responsibilities

• Prepare timely and accurate cost reports and variance analyses for internal management, external stakeholders, and regulatory compliance, including Medicare and Medicaid cost reports.
• Collaborate with cross-functional teams, including Finance, Revenue Cycle, Accounting, Operations, and Clinical departments, to gather relevant cost data, provide insights, and support decision-making to optimize resource allocation and financial performance.
• Lead and mentor a team of cost reporting and cost accounting professionals, providing guidance, training, and performance management to ensure departmental goals and objectives are met effectively.
• Develop and maintain comprehensive cost accounting systems and processes to accurately capture, allocate, and report costs associated with hospital operations, including direct and indirect costs, labor, supplies, and overhead expenses.
• Monitor industry trends, regulatory changes, and best practices in cost accounting and healthcare finance to identify opportunities for process improvement, cost reduction, and revenue enhancement initiatives.
• Liaise with external auditors, government agencies, and third-party payers to facilitate audits, resolve discrepancies, and ensure compliance with regulatory requirements and reimbursement guidelines.
• Participate in special projects and initiatives as assigned by senior management, such as system implementations, financial modeling, and strategic planning exercises, to support organizational goals and objectives.
  
  

Qualifications

• Bachelor's degree in Accounting, Finance, or related field; Master's degree and/or CPA designation preferred.
• 5 years of progressive experience in cost reporting.
• Knowledge of healthcare reimbursement methodologies, regulatory requirements (e.g., Medicare, Medicaid), and healthcare industry trends required.
• Proficiency in financial analysis, variance analysis, and financial modeling techniques, with advanced skills in Microsoft products.
• Excellent communication skills, with the ability to effectively collaborate with cross-functional teams, present complex financial information to non-financial stakeholders, and influence decision-making at all levels of the organization.
  
  

Primary Location

South Campus

Schedule

Full time

Shift

Day (United States of America)

Department

Accounting - General

Employee Status

Regular

FTE

1

Weekly Hours

40

• Expected Starting Pay Range
• Annualized pay may vary based on FTE status $91,520.00 - $116,688.00
  
  

Market Leading Benefits Including*: 

• Medical coverage starting day one of employment. View employee benefits here.
• Competitive retirement plans 
• Tuition reimbursement for continuing education 
• Expansive employee discount programs through our many community partners 
• Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group 
• Physical and mental health wellness programs 
• Relocation assistance available for qualified positions
• Benefits may vary based on FTE Status and Position Type
  
  

About Us

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s.

 Cincinnati Children's Is

• Recognized by U.S. News & World Report as a top 10  best Children's Hospitals in the nation for more than 15 years
• Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
• Recognized as one of America’s Best Large Employers  (2025), America’s Best Employers for New Grads (2025)
• One of the nation's America’s Most Innovative Companies as noted by Fortune
• Consistently certified as great place to work
• A Leading Disability Employer as noted by the National Organization on Disability
• Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
  
  

 We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us.

Comprehensive Job Description Provided Upon Request.

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability