Vice President of Finance - Personal Caregiving

About the Role

The Vice President of Finance will serve as the financial leader, responsible for building and scaling the financial infrastructure needed to support rapid growth. This role is both strategic and hands-on — owning budgeting, forecasting, reporting, and financial operations while partnering closely with executive leadership to ensure financial strength, compliance, and long-term success. It requires balancing disciplined financial management with agility in a scaling healthcare environment.

What You'll Do

Build Financial Strategy & Leadership

• Serve as a key strategic partner to the CEO and leadership team on financial planning and decision-making.
• Develop long-term financial models that support growth, expansion, and operational scalability.
• Provide clear insights into performance drivers, margins, and opportunities for efficiency.

Oversee Budgeting, Forecasting & Reporting

• Lead the annual budgeting process and ongoing forecasting cycles.
• Build and maintain reporting dashboards that track KPIs, cash flow, and profitability.
• Deliver accurate, timely financial reporting for leadership and board-level discussions.

Strengthen Financial Operations

• Oversee accounting processes, month-end close, and financial controls.
• Ensure systems and workflows are scalable, efficient, and audit-ready.
• Partner with operations teams to improve cost management and resource allocation.

Ensure Compliance & Risk Management

• Maintain compliance with healthcare-related financial regulations, Medicaid reimbursement requirements, and state/federal standards.
• Support audits, payer reviews, and financial risk assessments.
• Establish strong internal controls and governance practices.

Support Growth & Investment Readiness

• Prepare the organization for future fundraising, debt financing, or strategic partnerships.
• Collaborate on investor reporting, financial diligence, and strategic transactions.
• Build the financial foundation needed for expansion into new markets and service lines.

Required Qualifications

• Minimum 8+ years of progressive experience in finance, accounting, or related roles.
• Proven leadership experience managing budgeting, forecasting, and financial operations.
• Strong understanding of financial controls, reporting, and performance management.
• Experience in healthcare services, home care, Medicaid-funded programs, or other regulated industries strongly preferred.
• Bachelor's degree in Finance, Accounting, Economics, or related field required.
• Ability to operate both strategically and tactically in a high-growth environment.

Preferred Qualifications

• 8+ years of experience with significant leadership responsibility.
• CPA, MBA, or other advanced finance credential preferred.
• Experience scaling finance functions in a start-up or growth-stage organization.
• Familiarity with healthcare reimbursement models, including Medicaid PCS.
• Prior experience supporting fundraising, board reporting, or M&A activity.

Core Competencies

• Financial Leadership: Guides organizational strategy through strong financial insight and discipline.
• Operational Excellence: Builds scalable systems, processes, and controls that support growth.
• Healthcare Finance Acumen: Understands the complexity of Medicaid and regulated care environments.
• Strategic Partnership: Trusted advisor to leadership, translating numbers into actionable decisions.
• Adaptability: Thrives in a fast-changing, start-up setting where priorities evolve quickly.
• Mission Alignment: Motivated by commitment to helping seniors and adults with disabilities live safely and independently at home.