VP Finance - East Region

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 East Region
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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.

• 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.
• Manage 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.
• Ability to travel 25%

• 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.

• Strong computer skills; excellent working knowledge of Microsoft Office Suite
• Experience with financial planning and analysis software and business intelligence platforms is useful