Vice President of Finance - Personal Caregiving

Vice President of Finance - Personal Caregiving

Remote (Missouri, United States)

Abri Care is positioned to become a next-generation leader in one of the largest, fastest-growing, and most fundamentally broken sectors in U.S. healthcare: access to Personal Care Services (PCS) to enable independent living  company exists to solve a structural workforce crisis that is driving unmet demand, avoidable nursing home placement, and deteriorating outcomes for millions of frail seniors and adults with disabilities.

The market is vast, fragmented, and accelerating a $75B+ addressable market growing 8-10% annually, with demographic inevitability as the driver (exploding 80+ population, shrinking family caregiver base). States aggressively rebasing toward Home and Community Based Services (HCBS) due to cost pressures, outcomes data, and member preference — materially advantages PCS as the lowest-cost, highest-impact LTSS modality. Medicaid-funded Personal Care Services (PCS) represents the largest covered patient base that Abri Care will proudly serve, with an opportunity to deliver PCS offerings to VA and private-pay members as well.

Abri Care’s model is straightforward and powerful: fix the caregiver experience, modernize operations with technology-enabled infrastructure, and activate the home as the new front line of care coordination. Abri Care exists to:

• Enable vulnerable seniors and adults with disabilities to remain independent at home, avoiding high-cost
• Elevate the caregiver workforce, a historically undervalued labor pool that experiences >60% annual turnover sector-wide.
• Deliver material value for Medicaid and managed care organizations through reliable fulfillment, consistent documentation, rising-risk detection, and improved outcomes.

This is an opportunity to join the leadership team of a company that directly affects the highest-risk, highest-cost members in Medicaid and Medicare — the 6-10% of beneficiaries who account for ~35%+ of spend.

The Vice President of Finance will serve as Abri Care’s financial leader, responsible for building and scaling the financial infrastructure needed to support rapid growth. This role is both strategic and hands‑on — owning budgeting, forecasting, reporting, and financial operations while partnering closely with executive leadership to ensure Abri Care remains financially strong, compliant, and positioned for long-term success.

This is a critical role for someone who can operate in a fast-moving, mission-driven healthcare environment, balancing disciplined financial management with the agility required in a scaling organization.

• Serve as a key strategic partner to the CEO and leadership team on financial planning and decision-making.
• Develop long-term financial models that support growth, expansion, and operational scalability.
• Provide clear insights into performance drivers, margins, and opportunities for efficiency.

• Lead the annual budgeting process and ongoing forecasting cycles.
• Build and maintain reporting dashboards that track KPIs, cash flow, and profitability.
• Deliver accurate, timely financial reporting for leadership and board-level discussions.

• Oversee accounting processes, month-end close, and financial controls.
• Ensure systems and workflows are scalable, efficient, and audit-ready.
• Partner with operations teams to improve cost management and resource allocation.

• Maintain compliance with healthcare-related financial regulations, Medicaid reimbursement requirements, and state/federal standards.
• Support audits, payer reviews, and financial risk assessments.
• Establish strong internal controls and governance practices.

• Prepare Abri Care for future fundraising, debt financing, or strategic partnerships.
• Collaborate on investor reporting, financial diligence, and strategic transactions.
• Build the financial foundation needed for expansion into new markets and service lines.

• Minimum 8+ years of progressive experience in…