Director of Finance for Hospice

Position Summary
Hands-on financial leader responsible for full-cycle accounting, financial reporting, treasury management, CAP compliance, and budgeting for a multi-entity hospice organization. This role combines Director of Finance ownership with Controller execution: you will build and run the finance function in-house, replacing the external controller/vendor, while managing a small internal team (biller and AP/Payroll clerk).

Reporting Structure

• Reports to: Chief Executive Officer (CEO) or designee
• Board Oversight: Finance/Audit designee for month-end sign?off and governance
• Direct Reports: Biller; AP/Payroll Clerk

Core Responsibilities

• Accounting & Month-End Close
• • Own the month?end close for each entity and consolidated holdings; complete by T+10 business days.
  • Prepare and review journal entries, account reconciliations, accruals, intercompany eliminations, and balance?sheet schedules (cash, AP/AR agings, payroll liabilities, fixed assets/depreciation).
  • Produce consolidated financial statements (P&L, Balance Sheet, Cash Flow – indirect).
  • Maintain GL integrity and chart of accounts; implement/improve accounting policies and internal controls.
  • Coordinate and manage external audits; ensure due diligence readiness.
• Treasury, Cash Flow, and Debt Management
• • Prepare a consolidated, rolling cash forecast with updates twice weekly; manage daily liquidity and working capital.
  • Administer banking operations and cash controls (dual approvals, ACH/positive pay/wires).
  • Maintain debt schedules and covenant reporting; coordinate with lenders and prepare compliance packages.
• Medicare Hospice CAP – Reporting & Compliance
• • Own full CAP reporting and compliance for all CCNs: monthly PS&R pulls, CAP roll?forward, JE support, and year?end exposure forecasting.
  • Reconcile Extended Repayment Arrangements monthly and maintain supporting documentation; coordinate with MAC/NGS as needed.
• Budgeting, Forecasting & Board Reporting
• • Lead the annual budget process (build driver?based models; iterate scenarios; present for approval).
  • Maintain a monthly rolling forecast (base case; expand to scenarios as needed) and explain variances versus budget and prior periods.
  • Prepare the monthly financial pack: consolidated and by?entity P&L/BS/CF, YTD/TTM views, budget vs. actuals, and a concise financial narrative.
  • Present monthly results and outlook to the CEO and Board; own the financial narrative and Q&A.
• Tax, Audit & Internal Controls
• • Prepare and review internal workpapers for tax returns and audits (fixed assets, depreciation, accruals, 1099s, payroll tie?outs, prepaids/deferrals).
  • Maintain and periodically test internal controls and SOPs across AP, payroll, billing, and close processes.
  • Coordinate with external CPA firms for filings and cost reports; ensure compliance with GAAP and hospice reimbursement rules.
• Team Leadership & Process Improvement
• • Directly supervise the biller and AP/Payroll clerk: set goals, coach performance, and drive process improvements.
  • Document finance SOPs and close checklists; standardize reconciliations and review gates.
  • Lead the transition of controller responsibilities from the external vendor to in?house ownership.
• Systems & Data
• • Operate within QuickBooks Online, ADP, banking portals, and hospice EMR/PS&R data sources; build reliable Excel?based models and reports.
  • Recommend pragmatic tooling or workflow automations to improve close speed, cash visibility, and reporting quality.

Key Qualifications & Experience

• Bachelor’s degree in Accounting, Finance, or related field (CPA or MBA strongly preferred).
• 7+ years of progressive accounting/finance experience with multi?entity consolidation; prior Controller or Director?level experience in healthcare/hospice required.
• Demonstrated expertise in GAAP, month?end close, and financial statement preparation.
• Hands?on treasury, cash forecasting, and lender compliance experience.
• Direct experience with Medicare hospice finance, including CAP reporting and PS&R/NGS workflows.
• Advanced Excel skills; strong proficiency with QuickBooks Online and payroll/accounting integrations.
• Proven ability to manage small teams and build disciplined processes in a growth environment.

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