Associate Director of Finance

The PACE program offers a variety of services, with many of them provided onsite at a PACE Center. PACE is an alternative to nursing home care and – through an interdisciplinary care team (IDT) of physicians, nurse practitioners, nurses, social workers, therapists, van drivers, and aides – coordinates and provides preventive, primary, acute, and long-term care services, so older individuals can continue living in the community.

• Purpose
• Professional Development
• Paid Holidays
• PTO and Sick Time
• Internal opportunities for growth
• Team Support
• Competitive Pay
• Medical, Dental, Vision Insurance
• Life insurance
• 403(b) Retirement Savings
• Employee Assistance
• And MORE!

The Associate Director of Finance oversees budgeting, financial reporting, accounting and fiscal processes, reimbursement, and compliance activities for the organization. This role is responsible for ensuring financial integrity, regulatory compliance, and operational efficiency while supporting the organization’s vision, mission, and core values to provide high-quality, cost-effective care to older adults. The Associate Director works closely with medical, operational, and executive leadership to align financial performance with care delivery outcomes.

This position plays a critical role in financial planning, regulatory compliance, and strategic decision-making.

Financial Management and Reporting

• Oversee the preparation and analysis of monthly, quarterly, and annual financial statements in accordance with GAAP and healthcare regulatory standards.
• Monitor financial performance against budget, forecast trends, and identify variances with actionable recommendations.
• Support the annual budgeting process and long-range financial planning initiatives.
• Oversee general ledger activities, including journal entries, account reconciliations, and month-end close processes.

Reimbursement and Revenue Oversight

• Monitor PACE capitation revenue from CMS and state Medicaid and Medicare agencies.
• Analyze enrollment trends, capitation rates, and risk adjustments to assess financial impact.
• Collaborate with enrollment, billing, and eligibility teams to ensure accurate and timely revenue recognition.
• Support rate setting, reconciliation, and audit activities related to CMS and state Medicaid and Medicare payments.

Compliance and Audit

• Ensure compliance with federal and state PACE financial regulations, including CMS reporting requirements.
• Coordinate external audits, cost reports, and regulatory examinations.
• Maintain internal controls to safeguard organizational assets and ensure accurate financial reporting.
• Assist in the development and enforcement of financial policies and procedures.

Operational and Strategic Support

• Partner with clinical, medical, and operational leaders to analyze cost drivers, utilization trends, and service line profitability.
• Support financial modeling for program growth, new center development, and service expansions.
• Provide financial insights to support care delivery decisions while maintaining cost effectiveness.
• Assist the CFO with strategic initiatives and board reporting.

Team Leadership and Development

• Directly supervise the Finance Manager & Pharmacy Controller and the Accounting Manager; provide indirect oversight to finance staff including accountants and analysts.
• Mentor and develop finance team members while promoting accountability and professional growth.
• Promote continuous improvement and automation in financial processes and systems.
• Support cross-functional collaboration across finance, IT, operations, clinical, and medical teams.

• Bachelor’s degree in Finance, Accounting, or a related field required;
  Master’s degree preferred.
• Minimum of 8 years of progressive finance and accounting experience required; 10 years preferred.
• Healthcare, managed care, or PACE experience strongly preferred.
• Minimum of 5 years of leadership experience required, including experience interacting with executive leadership.

• Strong knowledge of GAAP and financial reporting practices.
• Familiarity with CMS and state Medicaid financial requirements for PACE…