Vice President of Finance

Overview

RVNAhealth, a mission-driven, community-based healthcare organization delivering a full continuum of home-based services—including skilled nursing, rehabilitation, chronic and hospice care, and private duty services—is seeking a Vice President of Finance to join its executive leadership team.

This is a high-impact, succession-planned role for a senior finance leader ready to step into enterprise-wide responsibility and progress into the Chief Financial Officer position. The VP of Finance will serve as the organization's senior financial strategist and operational finance leader, partnering closely with the President & CEO and Board of Directors to ensure long-term financial sustainability in a complex, post-acute healthcare environment.

• Lead development and execution of the annual operating budget, multi-year financial plans, and rolling forecasts.
• Provide forward-looking financial analysis and insights to support strategic initiatives, service line performance, and organizational growth.
• Partner with the CEO and executive team on capital planning, financial modeling, and long-term sustainability.
• Oversee preparation of accurate, timely financial statements (income statement, balance sheet, cash flow) in accordance with GAAP and healthcare regulatory standards.
• Present monthly, quarterly, and annual financial results to the CEO and Board of Directors, translating complex data into actionable insights.
• Serve as a key liaison to the Finance Committee of the Board.
• Ensure compliance with all federal and state financial regulations governing home health, hospice, and post-acute care.
• Oversee audits, tax filings, cost reports, and required regulatory submissions.
• Maintain strong relationships with external auditors, regulators, and financial partners.
• Direct cash flow management, billing, collections, and reimbursement processes to ensure financial stability.
• Optimize revenue cycle performance across Medicare, Medicaid, commercial insurance, and private-pay funding streams.
• Drive continuous improvement in accounts receivable, payer mix analysis, and reimbursement optimization.
• Identify and implement cost-containment and margin-improvement strategies while supporting high-quality patient care.
• Monitor labor costs, overhead, and operational drivers to ensure alignment with financial and strategic goals.
• Assess financial risk and develop mitigation strategies to protect the organization's fiscal health.
• Lead, mentor, and develop a high-performing finance team with a focus on accountability, succession planning, and professional growth.
• Collaborate closely with clinical, operational, and administrative leaders to align financial strategy with mission-driven outcomes.
• Communicate financial concepts clearly and credibly to non-financial stakeholders.

• Bachelor's degree in Accounting, Finance, or Business Administration.
• 10+ years of progressive financial leadership experience, including significant responsibility for organizational financial operations.
• Demonstrated experience in healthcare finance, preferably within home health, hospice, or post-acute care.
• Strong knowledge of healthcare reimbursement, regulatory reporting, and compliance (Medicare, Medicaid, GAAP; CHAP and DPH a plus).
• Proven success in budgeting, forecasting, cash flow management, and strategic financial planning.

• CPA, MBA, or other advanced financial credential.
• Experience in nonprofit healthcare environments, including Board reporting and mission-driven financial stewardship.
• Prior exposure to executive leadership teams and Boards of Directors, with readiness to step into a future CFO role.

• Strategic thinker with strong business acumen and executive presence.
• Collaborative, hands-on leader with the ability to influence across disciplines.
• Deep alignment with RVNAhealth's mission, values, and commitment to community-based care.

At RVNAhealth, you'll be part of a passionate leadership team dedicated to improving the lives of patients and families throughout the region. This is a unique opportunity to shape the financial future of a respected and…