Finance Director

Agrace; Madison (WI); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

Health insurance

Retirement plans with employer match

Paid time off (PTO)

Comprehensive onboarding

Job summary

Agrace in Madison, WI seeks a Director of Finance to lead FP&A, budgeting, forecasting, and financial systems for a nationally recognized hospice nonprofit. You will translate data into strategic insights, partner with the CFO and leadership to drive growth, optimize contracts, and ensure robust financial controls while maintaining patient-focused care.

This is a high-impact, on-site leadership role with cross-functional collaboration.

Qualifications

• Bachelor’s degree in Finance/Accounting or Business Administration with accounting emphasis; MBA preferred.
• 10+ years of progressive financial leadership experience.
• Strong understanding of Medicare reimbursement and healthcare finance preferred.
• Advanced financial modeling and analytical skills.
• Expertise with budgeting, forecasting, and performance management.
• Ability to transform data into meaningful business insights.
• Exceptional communication and presentation skills. Including proven ability to influence and collaborate across organizational levels.
• Strong financial systems and business intelligence experience.
• Advanced proficiency in Excel, financial reporting tools, and data visualization platforms.

Responsibilities

• Lead FP&A Team and contracting resources.
• Oversee budgeting for all legal entities and boards.
• Develop financial models for strategic investments, payer arrangements, and capital projects.
• Provide management with KPI dashboards and financial performance insights.
• Partner with operational leaders to improve profitability while maintaining high-quality patient care.
• Support risk management, governance, and contract negotiations.

Skills

Financial leadership

Budgeting & forecasting

Financial modeling

Healthcare finance

Data visualization

Excel proficiency

Communication skills

Education

Bachelor’s degree in Finance/Accounting or Business Administration

MBA

Tools

Excel

BI tools

Data visualization tools

Job description

Location: Madison, WI

Full-time 1.0 FTE (40 hours/week) | Day Shift | Monday-Friday | Hours 8:00 am – 4:30 pm

Make a lasting impact with Agrace. Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. If you are looking for a role that helps support meaningful, patient-centered care, this is your opportunity to make a difference!

How You’ll Make a Difference (Essential Functions)

The Director of Finance serves as a key strategic partner to the CFO and operational leadership team. This role leads financial planning and analysis, budgeting, forecasting, operational finance, contract evaluation, and financial systems optimization. The Director of Finance translates financial data into actionable insights that support organizational growth, operational excellence, and mission fulfillment.

Key Responsibilities

• Strategic Planning
  • Partner with executive and operational leaders to develop and monitor strategic business plans including the Annual Operating Plan and Three-Year Strategic Plan.
  • Provide financial analysis and recommendations supporting organizational growth initiatives, new programs, partnerships, and market expansion.
  • Lead financial modeling for strategic investments, payer arrangements, service line development, and capital projects.
  • Translate complex financial information into clear, actionable recommendations for executives
• Budgeting and Forecasting
  • Directs the annual budgeting process for all legal entities;
  • Develops annual budget targets, supervises inputs from directors and managers and prepares projections for activity, revenue, expenses and discounts, capital budget, cash forecast and financial ratio analysis.
  • Assist with preparation of budget materials for the Board of Directors.
  • Propose and implement budgeting process improvement changes as appropriate.
• Financial Analysis, Reporting and Financial Systems
  • Collaborate with operational leaders to achieve and improve key performance indicators (KPIs)
  • Oversee preparation of monthly management reporting packages and executive dashboards.
  • Oversee the monitoring of payer mix, reimbursement trends, and operational drivers of financial performance.
  • Understand and communicate financial results and trends to management
  • Assist in preparing materials for Board of Directors.
  • Lead optimization of financial systems and reporting tools.
  • Partner with technology teams to improve data quality, reporting automation, and analytics capabilities.
  • Develop dashboards that support executive decision-making.
  • Ensure integration of financial, operational, and clinical data for comprehensive performance management.
• Operational Finance and Business Partnership
  • Serve as the primary finance business partner to operational leaders.
  • Support performance improvement initiatives through financial analysis and operational benchmarking.
  • Oversee the analysis of labor productivity, patient census trends, referral patterns, service utilization, and program profitability.
  • Collaborate with Operational Leaders to identify opportunities to improve financial performance while maintaining high-quality patient care.
  • Provide financial analysis for contracts and value-based reimbursement arrangements.
  • Support contract negotiations through modeling, profitability analysis, and oversight of the Contract Specialist.
  • Assist CFO in areas of risk management and contract management to ensure compliance.
• Manage Staff
  • Lead and develop FP&A Team, Financial Systems Analyst, and contracting resources.
  • Foster a culture of accountability, continuous improvement, collaboration, and service excellence.
  • Mentor finance team members and support succession planning initiatives.
• Other Duties
  • Participate in internal work groups, meetings and committees relative to position responsibilities.
  • Ensure compliance with Agrace policies and protocols, state, federal, and other regulations.
  • Develop and adhere to annual department operating budget.

You Bring (Qualifications)

• Bachelor’s degree in Finance/Accounting or Business Administration with accounting emphasis; MBA, preferred.
• 10+ years’ of progressive financial leadership experience
• Strong understanding of Medicare reimbursement and healthcare finance preferred.
• Advanced financial modeling and analytical skills.
• Expertise with budgeting, forecasting, and performance management.
• Ability to transform data into meaningful business insights.
• Exceptional communication and presentation skills. Including proven ability to influence and collaborate across organizational levels.
• Strong financial systems and business intelligence experience.
• Advanced proficiency in Excel, financial reporting tools, and data visualization platforms.
• Ability to communicate financial/business/technical/clinical information to all levels of the organization
• Ability to maintain confidentiality about patients, families, caregivers, staff, donors, and organizational intellectual property.
• Valid driver’s license, auto insurance, and access to a reliable vehicle
• Ability to use proper body mechanics and standard precautions
• Ability to be flexible in time and task to meet organizational needs

Benefits

• Competitive pay with free parking
• Health, dental, and vision insurance for employees who are hired for 28+ hours per week (.7 FTE +)
• Retirement plans with employer matching
• Generous Paid Time Off (PTO) and holiday paid time off
• Comprehensive onboarding, mentorship, and career development

About Agrace

For more than 45 years, Agrace has been an innovator and leader in both caring for patients and their families, and in educating others about death, dying and grief. We are the largest hospice provider in Wisconsin. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving.

At Agrace we are strengthened by the unique experiences, cultures and traditions of our staff, patients and clients.

Together, we pursue a vision in which every Agrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.

We foster a culture of belonging that celebrates people’s uniqueness and leads to meaningful, empathetic connections.

Agrace Health Inc is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.