Senior Healthcare Costing Support Specialist

Company: Strata Decision Technology
Location: Chicago
Posted on: April 1, 2026

Job Description:

How You’ll Make an Impact: As a Senior Healthcare Costing Support Specialist, you will be providing application guidance and support to our healthcare customers for our Axiom products: Enterprise Decision Support and Cost Accounting. To be successful in this role, you should be highly motivated, enjoy finding creative solutions to challenging problems, be able to troubleshoot independently, and have excellent customer service skills. Day to day, you will be part of a team that resolves cases submitted by key customer stakeholders—including operational leaders, finance teams, and executive sponsors—from some of the largest health systems in the world. You will provide ongoing guidance, troubleshooting, and optimization support to ensure these customers are maximizing the value of their Axiom costing and financial decision support solutions. Key Responsibilities: Costing Subject Matter Expertise - Develop and maintain deep expertise in Axiom’s costing methodologies, including cost allocation, data modeling, and financial reporting, to effectively support customer needs. Issue Troubleshooting & Resolution - Investigate and resolve complex customer cases in Salesforce related to costing data, calculations, integrations, reporting, and system performance. Analyze root causes and provide clear, actionable solutions. Customer Communication: Guidance & Support - Partner directly with our customers’ finance and operational stakeholders to guide them through system challenges, explain costing results, and recommend best practices to improve data accuracy and usability. Data Analysis & Validation - Review customer data, allocations, and outputs to identify discrepancies, validate results, and ensure alignment with expected financial outcomes. Cross-Functional Collaboration - Work closely with our internal Product, Engineering, and Implementation teams to escalate issues, influence product improvements, and ensure timely resolution of customer-impacting problems. Knowledge Sharing & Documentation - Contribute to internal and customer-facing knowledge resources, including documentation of common issues, solutions, and best practices. Continuous Improvement - Identify recurring trends in customer issues and proactively recommend enhancements to processes, configurations, or product functionality. Attention to Detail - Accurately document all customer interactions, root causes, and case resolutions. Work toward resolving cases within established SLA guidelines. Qualifications: 3–5 years of experience in healthcare finance, decision support, or cost accounting Strong understanding of healthcare costing methodologies (e.g., cost allocation, service line costing, RVUs, etc.) Experience supporting or working with financial or decision support systems (Axiom experience preferred) Proven ability to troubleshoot complex data and system issues Strong analytical and problem-solving skills, with excellent attention to detail Excellent communication skills, with the ability to translate technical concepts into business terms Ability to manage multiple priorities and work effectively in a fast-paced, customer-facing environment You’ll really wow us if you have: Experience with healthcare ERP, EHR, or financial systems Familiarity with SQL, data analysis tools, or database structures Prior experience in a customer support or consulting role Excel expertise Salesforce knowledge is a plus Estimated Salary Range: $75,000-90,000 Actual salary will be determined based on factors including, but not limited to, skill set and level of experience. This salary range is a good faith estimate of base pay. Strata also provides discretionary variable pay programs based on role. In addition, Strata provides a comprehensive benefits package including retirement benefits, health and welfare benefits, paid time off, parental leave, life and accident insurance, and other voluntary and well-being benefits. Find out more about Strata benefits here . How we work: The preferred location for this role is in Chicago, IL or St. Louis, MO. We value our people spending time together and have campuses hosting in-person events located in both cities. We are truly a hybrid environment with all team members experiencing the flexibility to work from home. Thinking about applying? Research shows that women and underrepresented groups tend to apply to jobs only when they check every box on a job posting. If you’re currently reading this and hesitating to click “Apply” for that reason, we encourage you to go for it! A true passion and excitement for making an impact is just as important as work experience. Should you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please reach out to careers@stratadecision.com. Here @ Strata… Our culture is driven by our people solving problems together. We embrace learning, collaboration, and continuous career growth. Together, we lift our customers, our products, our company, and our community. We believe that each of our team member’s unique perspectives and experiences is what drives innovation and positive change. Our individual differences are what make us a more forward-thinking organization. We foster a culture of inclusion, equity and belonging, regardless of race, religion, disability, sex, sexual orientation, gender identity or national origin. Our Core Values: While we celebrate what makes each member of our team unique, our core values are what connect us. They set clear expectations for how we approach our work and how each of us can positively influence the experience of our team and our customers. We connect with positive intent. We are helpful. We own it. We get better every day. We are humble.

Keywords: Strata Decision Technology, Joliet , Senior Healthcare Costing Support Specialist, IT / Software / Systems , Chicago, Illinois