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Sr. Director of LTC Financial Services

The Highlands at Pittsford
Pittsford, NY Full Time
POSTED ON 4/13/2026
AVAILABLE BEFORE 10/5/2026

The Sr. Director of LTC Financial Services will be responsible for the leadership and management of the Accounting and Finance functions for two nursing homes and one independent/assisted living campus. This position leads the Long-Term Care (LTC) section as an affiliate of the University of Rochester, ensuring the LTC Division is in full compliance with all financial covenants.

This person will serve as a policy advisor to the Chief Financial Officer on all matters related to financial management of the LTC Division.


Responsibilities include, but are not limited to:

Long Term Care (LTC) Division overall

  • Directly supervises staff.
  • Strategic and long-range planning, assists in the evaluation of business improvement opportunities for financial feasibility, expansion of existing programs for continued viability and leadership in cost reduction efforts to meet challenges.
  • Proactively prepares and presents financial analysis, cash flow projection, present value models, etc. to determine the justification of proposed operating alternatives for all departments and all operations within LTC Division.
  • Orchestrates the development of the annual budget process working with all departments to produce accurate and realistic financial projections.
  • Presents financials and budget to Board of Directors and various members of executive management.
  • Acts as liaison to the URMC in the financial closing process.
  • Orchestrates, facilitates and participates in the preparation of annual financial audit, tax returns, cost reports and other government required filings on all levels including Federal, State and Local. Acts as liaison to public accountants on all accounting issues and audits.
  • Assures LTC Division is in compliance with any and all financial covenants.
  • Implements and oversees that proper purchasing and accounts payable procedures are followed for all financial transactions.
  • Based on all responsibilities listed above, offers recommendations on ways to improve the efficiency and effectiveness of operations.
  • Ensures the internal control environment is sound and operating effectively and all accounting policies and procedures are being adhered to and monitored.
  • Acts as liaison to Office of University Audit on all internal audits. Responds appropriately and timely to all requests and recommendations.

Independent Living Specific

  • Oversees the monthly closing process including the production of financial statements, variance analysis, bank recs, payroll reports, etc.
  • Prepares customized statements as required by URMC, DASNY, NYSDOH, Attorney General and any other outside agency.
  • Maintains banking relationships assuring the maximum service at reasonable rates.
  • Works with Board of Directors Finance and Investment Committees to maximize return on cash investments. Coordinates and leads quarterly investment meetings and other meetings on an as needed basis
  • Maintains key financial and operating indicators such as occupancy, turn over and demographics to compare with local and industry trends and benchmarks
  • Coordinate submission of amendments to Offering Plan and maintenance of Residency Agreement and Escrow Agreements with attorney.
  • Oversee and assure proper insurance coverage for property, liability, liquor, automobile and workers compensation insurance. Assure competitive rates for coverage.
  • Prepare annual Medical Deduction Letter and DOH Annual Financial Report for Assisted Living.

Required qualifications:

  • Bachelor’s degree in accounting or related field, with minimum 5 years’ experience of financial health experience strongly preferred in the senior services industry.
  • Experience working with computers, computerized accounting software, database and spreadsheet software.
  • Demonstrated interest in working with senior population.
  • Must have the ability to communicate and act in a businesslike manner and to effectively deal with residents, guests and staff.
  • Good written and verbal skills
  • Must be able to apply basic mathematical concepts. Able to apply concepts such as percentages, fractions, ratios and proportions to practical situations

Pay Range- $99,985-$159,993 Exempt

Salary : $99,985 - $159,993

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