Director, Decision Support

Director, Decision Support Department: Technology Location: Remote FLSA Status: Exempt People Leader: Yes Travel: <5% Summary Company Summary Accuity partners with hospitals and health systems through a technology-enabled, physician-led model that improves clinical documentation integrity, coding accuracy, reimbursement optimization, and quality outcomes. Job Summary The Director, Decision Support provides leadership for Accuity’s client reporting and performance analytics functions. This role ensures delivery of accurate, timely, and actionable reporting that helps internal teams and clients understand financial performance, operational trends, and program impact. The Director leads the reporting team, strengthens analytical rigor and quality control, and partners with Client Success and operational leaders to explain performance variability, identify drivers of change, and support data-informed decision making across client engagements. Responsibilities Client Reporting and Analytics Oversee the preparation and delivery of client reporting packages, ensuring accuracy, timeliness, and consistency across engagements Lead the development of analytical tools, supporting materials, and reporting narratives that explain monthly performance drivers Ensure reporting logic aligns with client requirements, business rules, and established operational standards Continuously improve reporting processes, templates, and quality checks Performance Interpretation and Decision Support Provide senior-level interpretation of performance trends, including case mix shifts, seasonality, reimbursement mix, and operational changes Analyze and communicate the drivers of performance variability, including CDI maturation, coding education, query adoption, and documentation improvement initiatives Partner with Client Success and leadership teams to prepare for client discussions involving performance trends and financial outcomes Serve as an escalation point for complex analytical questions related to reporting results and performance interpretation Reporting Governance and Quality Establish quality control standards, review processes, and documentation requirements to ensure analytical rigor and reporting accuracy Develop reporting governance practices that improve consistency, traceability, and confidence in client deliverables Monitor reporting outputs for trends, anomalies, and inconsistencies and drive corrective action when needed Partner with reimbursement and operational subject matter experts to maintain alignment between reporting outputs and underlying business logic Team Leadership and Development Lead and mentor team members responsible for reporting production, analytics, and decision support activities Build team capability to proactively identify trends, answer complex questions, and communicate insights clearly Foster a culture of accountability, curiosity, continuous improvement, and strong client service Prioritize work effectively across a fast-paced, client-driven environment while maintaining high quality standards Other Duties as Assigned Perform additional responsibilities as needed to support organizational goals and client success Qualifications Education and Credentials Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required Master’s degree in Business, Finance, Healthcare, or related field preferred HFMA, CPHIMS, or equivalent healthcare finance or analytics certification preferred Experience 10+ years of experience in reporting, analytics, decision support, reimbursement, or revenue cycle operations required 5+ years of demonstrated leadership experience required Experience leading client reporting, performance analytics, or decision support functions in a healthcare environment required Experience supporting executive-level client discussions and translating complex performance data into actionable insights required Core Competencies Strong analytical capability with the ability to interpret complex data sets and identify trends, anomalies, and performance shifts Ability to translate reimbursement and performance data into clear, actionable insights for internal stakeholders and client audiences Advanced proficiency in Excel and SQL, and demonstrated experience with business intelligence platforms (e.g., Power BI, Tableau) Ability to design and present data visualizations that communicate performance trends clearly to varied audiences Strong communication, executive presence, and cross-functional collaboration skills Ability to lead teams, manage competing priorities, and maintain accuracy and timeliness in a remote work environment Additional Requirements 1) Physical Requirements: The requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations. Unless otherwise indicated, Accuity positions require interaction with people and technology while either sitting or standing. Employees must be able to communicate via phone, email, etc. and sit for extended periods of time, with or without reasonable accommodations. Physical effort and exposure to physical risk are limited to that of an office role / environment. 2) Position and Employment Statement: While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. All positions at Accuity Delivery Systems, LLC, are at-will employment, and a position description is not a guarantee of a job or of job responsibilities. While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. All positions at Accuity are at-will employment, and a position description is not a guarantee of a job or of job responsibilities. Apply To This Job