Vice President of Finance / Director of Finance

The Vice President of Finance serves as a key member of the executive leadership team, responsible for shaping and executing the organization’s financial strategy while ensuring fiscal integrity, operational efficiency, and compliance with healthcare regulations. Reporting directly to the Chief Executive Officer, the SVP of Finance provides strategic financial leadership across accounting, revenue cycle management, treasury, audit, and risk management functions.

Open to Director stepping into VP role. 215K, plus bonus

The VP partners with the CEO, Board of Directors, and senior leadership to drive growth, support investment strategies, optimize payer and vendor relationships, and strengthen profitability. This role requires a forward-thinking leader with strong business acumen, deep understanding of healthcare reimbursement models, and the ability to align financial management with the organization’s mission, vision, and long-term goals.

Essential Functions and Job Responsibilities:

Strategic & Financial Leadership

• Develop and execute financial strategies to support the organization’s short-term and long-term goals.
• Serve as a trusted advisor to the CEO and Board of Directors, providing insight into financial performance, opportunities, and risks.
• Drive initiatives to enhance revenue, reduce costs, and improve profitability while maintaining compliance with regulatory requirements.
• Lead financial planning, capital structure decisions, and investment strategies to support growth, including acquisitions and expansions.
• Lead financial efforts to support all business plans related to strategy and growth opportunities.

Financial Management & Operations

• Oversee the development and management of the annual budget, forecasting models, and long-range financial planning.
• Ensure accurate preparation, analysis, and reporting of the profit & loss statement, balance sheet, and cash flow projections.
• Establish and monitor KPIs and financial dashboards to guide leadership decision-making.
• Strengthen revenue cycle management processes, including billing, collections, and reimbursement optimization specific to HME/DME.
• Implement effective financial controls, policies, and systems to safeguard assets and ensure transparency.
• Develop a financial process to evaluate new business opportunities and current and new payor relationships.

Risk, Compliance & Audit

• Ensure compliance with all federal, state, and local regulations, including CMS and audit requirements (e.g., ACHC, HIPAA).
• Oversee internal and external audit processes, ensuring timely and accurate reporting.
• Identify and mitigate financial, operational, and regulatory risks to protect company assets and reputation.

Leadership& Team Development

• Build, lead, and mentor a high-performing finance team, fostering a culture of accountability, integrity, and continuous improvement.
• Partner with department leaders to ensure financial alignment with operational priorities and organizational goals.
• Develop succession planning and professional growth opportunities for finance leadership roles.

Management/Supervision:

• Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback
• Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards
• Establishes annual goals and objectives forthe department based on the organization’s strategic goals
• Responsible for achieving organizational performance and retention goals, including timely completion of performance evaluations.

Competency, Skills and Abilities:

• Deep understanding of healthcare reimbursement models, including Medicare/Medicaid and private insurance.
• Strong expertise in financial strategy, forecasting, and capital management.
• Exceptional analytical, problem-solving, and decision-making skills.
• Strong leadership presence with excellent communication and negotiation skills.
• Ability to thrive in a fast-paced, highly regulated healthcare environment

Education and Experience Requirements:

• Bachelor’s degree in Finance, Accounting, Business, or related field required; Master’s degree (MBA, MHA, or equivalent) strongly preferred.
• Certifications: CPA, CFA, or CMA designation preferred.
• Minimum 15 years of progressive finance experience
• Demonstrated success in healthcare finance, preferably within HME,DME, or related healthcare services.
• Proven expertise in budgeting, forecasting, P&L management, balance sheet oversight, and financial reporting.
• Experience leading organizations through successful internal, external, and regulatory financial audits.