Medical Center Health System · Odessa, Texas, US

Cost Accountant

OpenFull-timePay not stated

Open — Medical Center Health System has a posting for this job. Posted 16 Sep 2026.

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Posted 16 Sep 2026 · Full-time · Pay not stated

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About this job

Position Summary:

Responsible for healthcare cost accounting activities that provide accurate, timely financial, clinical, and operational information to hospital leadership. Maintains and validates cost-accounting data, methodologies, allocation structures, and related reporting processes. Analyzes patient, procedure, department, physician, payor, and service-line performance and translates complex information into actionable insights.

Maintains the integrity of the hospital's cost-accounting methodology and supports the accurate allocation of financial and operational costs across the organization. Partners with Finance, Accounting, Revenue Cycle, Information Technology, clinical departments, and operational leaders to identify opportunities to improve cost, margin, productivity, and operational performance.

Education:

  1. Bachelor's degree from an accredited college or university in Accounting, Finance, Business Administration, Healthcare Administration, Economics, or a related field required.
  2. Master's degree in Accounting, Finance, Business Administration, or Healthcare Administration preferred.

Preferred Certifications and Professional Development:

  1. Certified Public Accountant (CPA), Certified Management Accountant (CMA), Certified Healthcare Financial Professional (CHFP), or another relevant Healthcare Financial Management Association (HFMA) certification preferred.
  2. Relevant healthcare cost-accounting experience may be considered alongside professional certification, education, and other applicable experience.

Training and Experience:

  1. One (1) to three (3) years of accounting, cost accounting, financial analysis, healthcare finance, or closely related experience is required.
  2. Healthcare finance, hospital accounting, hospital cost accounting, or hospital operations experience preferred.
  3. Experience with healthcare financial or cost-accounting systems preferred.
  4. Experience analyzing and reconciling large financial and operational datasets required.
  5. LEAN or process-improvement experience preferred.

Job Knowledge:

  1. Knowledge of accounting principles, financial reporting, cost-accounting methodologies, allocation methods, variance analysis, and general-ledger relationships.
  2. Knowledge of direct and indirect costs fixed and variable costs, overhead allocation methodologies, and service-line profitability concepts is preferred.
  3. Advanced Microsoft Excel skills including PivotTables, lookup functions, formulas, data validation, and reconciliation of large datasets.
  4. Ability to prepare accurate recurring and ad hoc reports utilizing financial and operational information.
  5. Strong analytical, reconciliation, critical-thinking, and problem-solving skills.
  6. Excellent written and verbal communication skills.
  7. Ability to explain financial and cost-accounting information to financial and non-financial audiences.
  8. Ability to manage multiple priorities, meet deadlines, and work independently and collaboratively.
  9. Ability to maintain confidentiality and exercise sound professional judgment.

Unusual Physical Demands and Working Conditions:

A. Ability to perform:
1. Prolonged sitting and prolonged VDT (video display terminal) exposure.

2. Ability to lift to twenty (20) pounds.
B. Possible exposure to patients with infectious diseases

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Not this job's pay

What do Corporate – Finance & Accounting jobs in Texas pay?

Talentify has no pay figure for this posting. The lines below are about Corporate – Finance & Accounting jobs on Talentify in Texas as a group, computed by Talentify's job index across their postings. They are not the pay for this job.

Of the 717 Corporate – Finance & Accounting jobs on Talentify in Texas, 63 list pay per hour.

Taking the midpoint of each listed range, the middle half pay 22.05–31.66 USD per hour and the median is 26.00 USD per hour.

47 of these 63 name no currency; they are counted as USD because the jobs are in the United States.

Pay as employers listed it, not adjusted or verified. Updated 2026-11-07.

Computed on 2026-11-07 from the pay in 63 listings.

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