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Catholic Health Initiatives

Sr Decision Support Analyst

Company : Catholic Health Initiatives

Location : Houston, TX

Job Type : Full Time

Salary : 34-50.58 HOUR

Date Posted : 7 January 2026


Job Summary and Responsibilities

As a Senior Decision Support Analyst, you will provide critical analytical expertise and strategic insights, transforming complex data into actionable intelligence to guide high-level organizational decision-making.

Every day you will expertly collect, analyze, and interpret large datasets, develop sophisticated financial and operational models, generate comprehensive reports, and meticulously present findings to senior leadership, supporting strategic planning and performance optimization.

To be successful, you will demonstrate outstanding analytical capabilities, strong financial acumen, and a meticulous, inquisitive demeanor, contributing significantly to data-driven strategies and sustainable organizational growth.

  • Serve as the Finance Department point person for assigned service line management teams. The Senior Analyst will be assigned to work with the larger, more complex service line teams. Functions and analyze monthly service line financial performanceb.Provide ad‐hoc reporting and in‐depth financial analysis to support the needs and requests of the hospital Service Line Directors and CFOs, using the EPSi decision support system and other toolsc.Research trends and variances, and identify potential threats and vulnerabilities to the financial performance of the service lines.d.Make
  • recommendations to Senior Management for action to improve such vulnerabilities and follow through on
  • implementation of recommendations
  • Maintain the Health System’s cost accounting system (EPSi). The Senior Analyst will be assigned to work with the larger, more complex hospitals and departments. Tasks include:a.Work with department managers to develop and review the accuracy of Relative Value Units (RVUs), thus ensuring the appropriate allocation of department costs to services provided, and accurate assignment of costs to patient accountsb.Perform monthly mapping of department charge codes to the appropriate statistic accountsc.Perform the monthly reconciliation of data in EPSi to the source systems (Payroll and General Ledger) and perform the processing steps within EPSi to allocate costs to department products and patient accounts. d.Create monthly department flexible budgets to monitor actual department financial and staffing results compared to volume adjusted expectations.e.Monitor department costs and assist department managers interpret their financial results
  • Assist in the annual operating budget process. The Senior Analyst will be assigned to be the lead representative from Finance in the budget process for the larger, more complex entities in the Health System.a.Serve as the Finance department main contact for assigned hospitals and facilitiesb.Assist hospital executive teams develop volume assumptions used in the budget processc.Provide system training to department managers and assist in data input and
  • reporting d.Provide year‐round support to assigned facilities in interpreting financial results and analyzing variances
Job Requirements

Required

  • Bachelors Other Accounting, Finance or related field and *Four (4) years of experience in financial analysis oraccounting, preferably in a hospital setting), upon hire and
  • *Experience with a hospital decision support system (such asEPSi) and

Preferred

  • Masters Other Business Administration or Health Administration , upon hire
  • Certified Public Accountant: TX, upon hire
Where You'll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

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Frequently asked questions

Mastering complex financial and operational modeling tailored to healthcare data sets is vital. Proficiency in tools like EPSI and the ability to interpret large datasets to influence hospital budgeting and service line performance are highly valued in Houston's healthcare analytics roles.

Catholic Health Initiatives emphasizes working with complex service lines and integrating cost accounting systems like EPSI. This role uniquely blends financial acumen with strategic guidance, supporting senior leadership through detailed variance analysis and targeted recommendations.

Success hinges on accuracy in financial reporting, insightful trend analysis, and proactive identification of vulnerabilities. Delivering actionable intelligence that shapes budget assumptions and improves departmental cost allocations are critical performance markers.

The organization's commitment to community health and vulnerable populations means analysts contribute beyond numbers—they support compassionate, mission-driven strategies. This fosters a collaborative environment where financial insights directly affect patient care quality and resource allocation.

In Houston, a Sr Decision Support Analyst in healthcare generally earns between $85,000 and $110,000 annually, depending on experience and certifications. This reflects the competitive market rates for advanced financial analytics roles supporting hospital operations.

Houston's growing healthcare infrastructure drives steady demand for experienced analysts, especially those adept in hospital finance systems. Candidates with EPSI expertise and strong financial modeling skills find favorable opportunities amid moderate local competition.

Certifications like CPA (particularly Texas-licensed) and advanced degrees in healthcare administration or business are highly regarded. These credentials align with Houston hospitals' emphasis on regulatory compliance and financial stewardship.

Managing complex datasets and ensuring accurate cost allocations across diverse departments are ongoing challenges. Analysts also navigate variable volume assumptions and reconcile multiple data sources to maintain financial integrity and support strategic decision-making.

This role acts as the finance liaison, collaborating closely with hospital executives to develop budgets, interpret financial results, and drive actionable improvements. Effective communication and tailored reporting empower leaders to optimize service line performance.

Professionals can progress toward senior management roles in finance or analytics, such as Director of Decision Support or Chief Financial Analyst. Houston's expanding healthcare market offers pathways into strategic leadership and specialized data-driven healthcare consulting.

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