VP Finance

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%

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

Benefits for…