Director of Finance

Job Details

Job Location: Waterloo, IA 50701

Cedar Valley Hospice is the premier hospice agency serving 15 counties with offices in Waterloo, Grundy Center, Independence, and Waverly. At Cedar Valley Hospice you will work with the best team of clinicians, administrative staff, and managers, utilizing highly regarded practices to provide optimum customer service to our patients and their families. As a not‑for‑profit organization, we believe "compassionate care" is not just a phrase spoken, but a way of living and working every day to help support clients and their families.

Job Summary
:
The Chief Administrative Officer provides strategic leadership and oversight of all financial functions to support the mission, sustainability, and growth of Cedar Valley Hospice. This role is responsible for financial planning, budgeting, reporting, revenue cycle management, and regulatory compliance.

Job Title: Chief Administrative Officer

Location: Waterloo, Iowa

Position Type: Full time (1.0 FTE), exempt

Reports to: Chief Executive Officer

Benefits
:
Cedar Valley Hospice provides an excellent benefit package including a family‑friendly work environment, generous paid time off, and a 401(k) plan. Public service loan forgiveness (PSLF) eligible employer.

Strategic Leadership

• Serve as a strategic advisor to the Chief Executive Officer and Executive Team on financial performance, trends, and long‑term planning.
• Develop and implement financial strategies that support high‑quality patient care, mission alignment, and organizational sustainability.
• Provide financial insights to guide decision‑making related to program development, staffing, facilities, and community partnerships.

Financial Operations

• Oversee daily financial operations, including accounting, payroll, accounts payable, accounts receivable, and cash flow management.
• Lead the preparation of monthly, quarterly, and annual financial statements and analysis.
• Ensure accurate and timely reporting of hospice billing, reimbursement, and revenue cycle activities (Medicare, Medicaid, private insurance, and self‑pay).
• Manage the annual audit process and coordinate with external auditors.
• Oversee financial components of the organization’s 401(k) plan and employee benefits processes, ensuring accurate contributions and regulatory compliance.
• Oversee year‑end tax reporting.
• Responsible for bid management for organizational services.

Budgeting, Forecasting & Data Analytics

• Lead the development of the annual operating and capital budgets.
• Monitor financial performance against budget and provide variance analysis and recommendations.
• Conduct financial forecasting and scenario modeling to support strategic decision‑making.
• Oversee data analytics for financial, operational, and clinical performance metrics to inform strategic planning, identify trends, and drive organizational improvement.
• Oversee efforts to implement performance data dashboards with visibility to all departments responsible for census growth.
• Analyze financial impact of changing census levels and length of stay, working closely with Chief Clinical Officer and Chief Growth Officer to understand cause and effect, and report plans to improve sustainability to Chief Executive Officer.
• Develop growth targets by year and by quarter, ensuring along with Chief Growth Officer that the organization’s growth goals are appropriate for the strategic plan.

Compliance & Risk Management

• Ensure compliance with all federal, state, and non‑profit financial regulations, including Medicare Conditions of Participation and OMB requirements when applicable.
• Maintain strong internal controls and safeguard organizational assets.
• Oversee insurance coverage, risk management practices, and investment policies.
• Responsible for all required organizational filings and distribution.
• Responsible for reviewing and updating financial policies and operating procedures.

Leadership & Collaboration

• Supervise and mentor the Finance team, promoting a culture of accountability, accuracy, and continuous improvement.
• Collaborate with clinical, development, and other leaders to align financial resources with organizational priorities.
• Present…