**Overview** This is a newly created position at Gentiva Hospice designed to support regional operations. The **Vice President of Finance** will provide leadership for the **Frontier Region.** The **VP Finance** serves as the senior financial leader for a multi-state hospice region, providing strategic financial oversight, operational partnership, and fiscal discipline to ensure sustainable growth, regulatory compliance, and high-quality patient care. This role will act as a trusted advisor to regional leadership, balancing financial stewardship with Gentiva’s mission to deliver compassionate, high-quality hospice care. **Essential Functions of Position** + Serve as the senior financial partner to regional, group, and area leadership, translating financial performance into actionable insights. + Lead regional financial strategy, ensuring alignment with enterprise goals, growth plans, and patient care priorities. + Provide financial leadership for new programs, de novos, acquisitions, and market expansion initiatives within the region. + Oversee the annual budgeting for the Region. Supports Corporate Finance with rolling forecasts. + Monitor regional financial performance against budget and forecast, proactively identifying risks and opportunities. + Partner with operations and clinical leadership to optimize labor, productivity, and cost structures while maintaining quality of care. + Provide financial analysis and decision support related to census trends, case mix, length of stay, staffing models, and service utilization. + Support leaders in understanding financial drivers and making informed, data-driven operational decisions. + Oversee regional financial performance related to cap management, and revenue integrity. + Partner with compliance, billing, and clinical leadership to ensure adherence to hospice regulatory and reimbursement requirements. + Monitor financial risk related to audits, TPE reviews, and reimbursement changes, escalating concerns as appropriate. + Ensure accurate, timely, and insightful financial reporting for regional leadership and enterprise stakeholders. + Translate complex financial data into clear, actionable insights for non-finance leaders. + Present regional financial results, trends, and recommendations to executive leadership. + Ensure strong financial controls and adherence to company policies, accounting standards, and internal governance requirements. + Lead, develop, and mentor regional finance team members, fostering a high-performing and service-oriented finance function. + Promote financial acumen and accountability across operational leadership teams. + Manages special projects and other duties as assigned. + Travel up to 25% **About You** **Specialized Knowledge/Skills:** + Deep expertise in hospice reimbursement, cap management, and Medicare regulatory requirements. + Proven ability to scale financial operations in high-growth, multi-market environments, including de novos and acquisitions. + Advanced skills in budgeting, forecasting, and financial modeling to support rapid growth and changing census dynamics. + Strong understanding of clinical and operational drivers of financial performance (census, LOS, staffing, productivity). + Experience identifying and mitigating financial, reimbursement, and operational risks in regulated healthcare settings. + Experience presenting financial results, risks, and recommendations to senior and executive leadership. + Strong judgment and discretion when navigating sensitive financial and operational matters. + Proficiency with financial systems, analytics, and performance dashboards to drive timely decision-making. **Education/Experience:** + Bachelor’s degree in Finance, Accounting, or related field; advanced degree preferred. + 10+ years progressive finance leadership experience in a multi-state healthcare organization; strong preference for experience in home-based care. + Proven ability to partner with senior leaders and manage complex regional P&Ls. + Strong analytical, leadership, and executive communication skills. **Training/Equipment:** + Strong computer skills; excellent working knowledge of Microsoft Office Suite + Experience with financial planning and analysis software and business intelligence platforms is useful **We Offer** **Benefits for All Associates (Full-Time, Part-Time & Per Diem):** + Competitive Pay + 401(k) with Company Match + Career Advancement Opportunities + National & Local Recognition Programs + Teammate Assistance Fund **Additional Full-Time Benefits:** + Medical, Dental, Vision Insurance + Mileage Reimbursement or Fleet Vehicle Program + Generous Paid Time Off + 7 Paid Holidays + Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) + Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) + Free Continuing Education Units (CEUs) + Company-paid Life & Long-Term Disability Insurance + Voluntary Benefits (Pet, Critical Illness, Accident, LTC) **Legalese** + This is a safety-sensitive position + Employee must meet minimum requirements to be eligible for benefits + Where applicable, employee must meet state specific requirements + We are proud to be an EEO employer + We maintain a drug-free workplace ReqID: 2026-132942 Category: Corporate Position Type: Full-Time Company: Gentiva Hospice