Finance Manager Randolph, VT

Finance Manager

Robert Half is seeking a Finance Manager for one of our clients in the Rutland VT area. This Finance Manager will guide financial planning, reporting, and compliance for a community-focused healthcare organization in Vermont. This Finance Manager position supports the financial health of a Federally supported Health Center by delivering accurate analysis, reimbursement oversight, and practical budget management. The role works closely with operational and clinical leaders to help preserve access to essential care through sound financial decision-making.

Responsibilities:

• Lead the development, administration, and ongoing review of operating and capital budgets, including financially supported grant programs.
• Evaluate monthly and year-to-date financial results, identify performance trends, and present actionable insights to senior leadership.
• Build cash flow projections and contribute to long-range financial strategies suited to a low-volume rural healthcare setting.
• Prepare and analyze Medicare cost reporting and other required reimbursement filings tied to Critical Access Hospital operations.
• Track reimbursement activity, including interim rate changes and settlement outcomes, while helping maintain compliance with government payment programs.
• Partner with accounting leadership to produce financial statements, management reporting, and summaries for executive and board review.
• Strengthen internal controls and uphold financial policies that align with state, federal, and healthcare regulatory standards.
• Work with department leaders to assess spending, improve cost efficiency, and support service line and staffing productivity analysis.
• Collaborate with revenue cycle teams to review payer trends, denials, collections, pricing, and charge capture performance in a regulated environment.