Director of Finance

Hospice Of South Texas; Victoria (TX); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Medical

Dental

Vision

HSA/FSA

PTO

401k

Life Insurance

STD/LTD

Educational Reimbursement

Job summary

Hospice of South Texas seeks an experienced Director of Finance to lead the organization’s day-to-day financial operations and support mission-driven care. This executive role reports to the CEO and collaborates with the Interim CFO and leadership to drive financial insight and sustainability.

The leader will oversee budgeting, forecasting, cash flow, revenue cycle, and audits, while strengthening internal controls and staff development.

Qualifications

• Bachelor's degree in Finance, Accounting, or related field required.
• CPA preferred.

Responsibilities

• Oversee accounting, budgeting, forecasting, cash-flow management, general ledger, accounts payable, accounts receivable, and payroll.
• Lead month-end and year-end close processes and ensure timely financial reporting.
• Develop financial projections, analyses, and management tools for Board-level decisions.
• Establish and maintain internal financial controls to safeguard assets and ensure compliance.
• Manage cash flow, banking relationships, reserve funds, and liquidity.
• Oversee Medicare/Medicaid and private-pay billing and reimbursement processes.
• Monitor revenue-cycle performance, including AR, billing accuracy, timing, and denials.
• Prepare for external audits and CMS/Medicaid reviews.
• Manage agency cost reports, tax filings, and regulatory financial filings.
• Supervise finance staff responsible for AP/AR, payroll, GL, and related functions.
• Conduct cost-benefit analyses for employee benefits and renewals.
• Provide timely financial reporting to executive leadership, Finance Committee, and Board.
• Evaluate workflows and cost drivers for efficiency and financial discipline.
• Identify financial risks, variances, and audit findings; address contingencies.
• Participate in strategic planning and risk management.
• Serve as financial point of contact for auditors, banks, and vendors.
• Support implementation and optimization of financial, payroll, billing, and EHR systems.
• Serve as 401(k) Plan Administrator with fiduciary oversight and reporting.

Skills

Budgeting

Forecasting

Financial Analysis

Leadership

Staff Development

Internal Controls

Revenue Cycle

CMS Audits

Communication

Collaboration

Education

Bachelor's Degree in Finance/Accounting

CPA preferred

Job description

Executive Leadership Position

Hospice of South Texas (HOST) is seeking an experienced and strategic Director of Finance to serve as the organization's principal day-to-day financial leader. This executive-level position plays a critical role in maintaining the financial strength, accountability, and long-term sustainability of our organization while supporting our mission of providing compassionate hospice care to the communities we serve.

The Director of Finance reports directly to the Chief Executive Officer and works collaboratively with the Interim Chief Financial Officer and executive leadership to provide meaningful financial insight, strengthen financial operations, and support sound organizational decision-making.

Responsibilities

• Oversee accounting, budgeting, forecasting, cash-flow management, general ledger, accounts payable, accounts receivable, and payroll.
• Lead month-end and year-end close processes and ensure accurate and timely financial reporting and reconciliations.
• Develop financial projections, analyses, and practical management tools to support executive and Board-level decision-making.
• Establish and maintain strong internal financial controls to safeguard organizational assets and promote financial accuracy and compliance.
• Manage cash flow, banking relationships, reserve funds, and other financial processes supporting organizational liquidity and sustainability.
• Oversee medical billing and reimbursement processes across Medicare, Medicaid, and private payors.
• Monitor revenue-cycle performance, including accounts receivable, billing accuracy, reimbursement timing, and denials.
• Prepare for and manage external financial and reimbursement audits and reviews, including CMS, Medicaid, TPE, RAC, and UPIC reviews.
• Manage Agency cost reports, tax filings, regulatory financial filings, and other required financial reporting.
• Supervise and provide accountability for finance staff responsible for AP/AR, payroll, general ledger, and related functions.
• Conduct financial and cost-benefit analyses related to employee benefits and annual benefit renewals.
• Provide timely financial reporting and analysis to executive leadership, the Finance Committee, and the Board.
• Evaluate financial workflows, systems, reporting, and cost drivers to identify opportunities for greater efficiency and financial discipline.
• Identify and elevate significant financial risks, variances, cash-flow concerns, reimbursement issues, internal-control deficiencies, and audit findings.
• Participate in organizational strategic planning, financial risk management, and emergency preparedness.
• Serve as a key financial point of contact for auditors, banks, vendors, government agencies, and other external partners.
• Support the implementation and optimization of financial, payroll, billing, and EHR-related systems.
• Serve as the organization's 401(k) Plan Administrator, supporting appropriate fiduciary oversight, compliance, administration, and reporting.

Education

• Bachelor's degree in Finance, Accounting, or a related field required.
• CPA preferred.

Experience

• Six or more years of progressive financial management experience.
• Experience in a nonprofit hospice or healthcare environment is strongly preferred.
• Experience with Medicare/Medicaid billing, CMS audits, financial reporting, accounting operations, and revenue-cycle management preferred.

Knowledge & Skills

• Strong knowledge of accounting principles, financial controls, applicable laws, and financial best practices.
• Demonstrated expertise in budgeting, forecasting, financial analysis, and data analysis.
• Ability to lead finance operations and effectively supervise and develop staff.
• Strong analytical, organizational, and problem-solving skills.
• Ability to translate complex financial information into clear, actionable information for executive leadership and the Board.
• Strong communication skills and the ability to collaborate effectively across departments and leadership levels.
• Ability to work effectively in a deadline-driven healthcare environment while maintaining a high level of accuracy and confidentiality.

Why Join Hospice of South Texas?

This is an opportunity for an accomplished financial leader to make a meaningful impact in a mission-driven healthcare organization. The Director of Finance will have a significant role in strengthening financial operations, improving organizational visibility, supporting strategic planning, and helping ensure HOST remains financially positioned to continue serving patients and families throughout our community.

Full-time employees are eligible for the following benefits:

• Medical
• Dental
• Vision
• HSA/FSA
• PTO
• 401k
• Life Insurance
• STD/LTD
• Educational Reimbursement

Love. Comfort. Support.