Cost Accountant

Cost Accountant

Job Code: CA - 119

Revision Date: October 07, 2026

Starting Salary: $30.49 hourly; $63,422 annually

FLSA: Exempt

Overview

We are an agency committed to innovative behavioral health services in trauma-informed care that promote healing and recovery to instill a sense of empowerment and foster a lifelong sense of resilience.

General Description

The Cost Accountant is responsible for overseeing cost accounting functions, state funding reporting, grant and contract compliance, cost allocation activities, and financial analysis. This position ensures the accuracy of financial data used in state reports, reimbursement requests, cost reports, budget monitoring, and regulatory filings.

The Cost Accountant works closely with program leadership and finance management to support funding compliance, maximize reimbursement opportunities, and maintain accurate financial records.

This class works under close to general supervision according to set procedures but determines how or when to complete tasks.

Duties and Responsibilities

The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position, as necessary.

State Reporting & Compliance

• Prepare and submit required state financial, statistical, and cost reports in accordance with agency requirements and deadlines.
• Compile, review, and analyze financial data used for state funding, reimbursement, and regulatory reporting.
• Ensure compliance with state regulations, contract requirements, grant agreements, and organizational policies.
• Maintain supporting documentation for reported expenditures, allocations, and claims.
• Coordinate with program managers to obtain and validate operational and financial reporting data.
• Assist with state agency audits, monitoring reviews, and financial examinations.
• Research and interpret reporting requirements and communicate changes to management.

Cost Accounting

• Develop and maintain cost allocation methodologies for programs, departments, and funding sources.
• Analyze direct and indirect costs to ensure accurate allocation of expenses.
• Monitor program expenditures against budgets and funding requirements.
• Prepare cost analyses, profitability studies, and funding utilization reports.
• Review expenditures to ensure consistency with grant, contract, and regulatory requirements.
• Assist in determining reimbursement rates and funding calculations.

General Ledger & Financial Reporting

• Prepare and post journal entries.
• Reconcile general ledger accounts and investigate discrepancies.
• Assist with month-end, quarter-end, and year-end close activities.
• Prepare account analyses and supporting schedules.
• Support the preparation of financial statements and management reports.
• Ensure transaction accuracy and compliance with Generally Accepted Accounting Principles (GAAP).
• Performs other duties as assigned.

Minimum Education and Experience Requirements

Requires a Bachelors degree in Accounting, Finance or related field, supplemented by three (3) year of experience in cost accounting, governmental, healthcare, behavioral healthcare, or non-profit organization; or possession of any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities.

Experience with trauma-informed services; cognitive behavioral therapies, including Dialectical Behavioral Therapy (DBT); and motivational therapies including the use of incentives, preferred.

Required Knowledge and Abilities

Knowledge of trauma-informed theories, principals, and practices (includes multi-faceted understanding of concepts such as community trauma, intergenerational and historical trauma, parallel processes, and universal precautions), preferred.

• Strong knowledge of cost allocation methodologies and financial reporting.
• Experience preparing state, grant, or contract-related financial reports.
• Proficiency in Microsoft Excel and accounting/ERP systems.
• Strong analytical, organizational, and problem-solving skills.
• Excellent attention to detail and accuracy.

Physical Demands

Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.

Unavoidable Hazards (Work Environment)

• Involves routine and frequent exposure to:
• + Bright/dim light; Dusts and pollen.

+ Extreme heat and/or cold; Wet or humid conditions.

+ Extreme noise levels, Animals/wildlife.

+ Vibration; Fumes and/or noxious odors.

+ Traffic; Moving machinery.

+ Electrical shock; Heights.

+ Radiation; Disease/pathogens.

+ Toxic/caustic chemicals; Explosives; Violence.

+ Other extreme hazards not listed above.

Special Certifications and Licenses

• Must possess and maintain a valid state Driver's License with an acceptable driving record.
• Must be able to pass a TB, criminal background, and drug screen.

Americans with Disabilities Act Compliance (ADA)

Emergence Health Network is an Equal Opportunity Employer. ADA requires Emergence Health Network to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

Other Job Characteristics

• Staffing requirements, including criteria that staff have diverse disciplinary backgrounds, have necessary State required license and accreditation, and are culturally and linguistically trained to serve the needs of the clinic's patient population.
• Credentialed, certified, and licensed professionals with adequate training in person-centered, family-centered, trauma informed, culturally-competent and recovery-oriented care.
• Responsible for adhering to the EHN common purpose and service framework to continuously provide exceptional care to all constituents.

Note

This Class Description does not constitute an employment agreement between the Emergence Health Network and an employee and is subject to change by the Emergence Health Network as its needs change.