Job Description
**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
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
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