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Deputy Director of Finance

LIVINGSTON COUNTY
Mount Morris, NY Full Time
POSTED ON 12/1/2025 CLOSED ON 1/18/2026

What are the responsibilities and job description for the Deputy Director of Finance position at LIVINGSTON COUNTY?

The Livingston County Center for Nursing & Rehabilitation (LCCNR) is seeking an experienced and mission-driven Deputy Director of Finance to provide strategic financial leadership within a dynamic long-term care environment. Reporting to the Director of Long-Term Care, this is a key leadership position responsible for overseeing all financial operations of a skilled nursing facility, ensuring accuracy, transparency, and compliance in a highly regulated healthcare setting.

Key Responsibilities:

  • Lead all aspects of financial management, including accounting, budgeting, forecasting, cash flow oversight, and audit coordination.
  • Ensure timely, accurate financial reporting and maintain strong internal controls.
  • Manage and interpret state and federal reimbursement systems, including Medicare and Medicaid—particularly New York’s Medicaid rate methodologies, cost reporting, and DOH compliance requirements.
  • Oversee preparation of regulatory, cost, financial and other required reports.
  • Provide financial insights and clear communication to facility leadership, boards/committees, and regulatory partners.
  • Guide and develop accounting and billing teams while improving processes and aligning financial performance with operational goals.

Qualifications:

  • Bachelor’s degree in Accounting, Finance, or Business Administration required; CPA or MBA preferred.
  • 5–7 years of healthcare finance experience, including several years in a nursing home or long-term care setting.
  • Strong understanding of Medicaid/Medicare reimbursement, healthcare cost reporting, and audit readiness.
  • Proficiency with healthcare financial systems (e.g., PointClickCare) and advanced Excel skills.
  • Demonstrated analytical abilities, sound judgment, integrity, and commitment to mission-driven care.

Why LCCNR?

Join a dedicated leadership team that supports high-quality resident care, operational excellence, and long-term financial sustainability in a complex and meaningful healthcare environment.

Pracademic Partners is assisting the County with this recruitment. Apply here: https://www.pracademicpartners.com/current-recruitments

Job Type: Full-time

Pay: $115,000.00 - $125,000.00 per year

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Professional development assistance
  • Retirement plan
  • Vision insurance

Work Location: In person

Salary : $115,000 - $125,000

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