Finance Manager, PACE

Blue Ridge Care; Winchester, Northern (VA, KY); Hybrid; USD 85,000 - 115,000; Full time

Job summary

Blue Ridge Care is seeking a Finance Manager, PACE to serve as the primary finance partner for the Program of All-Inclusive Care for the Elderly (PACE). The role involves financial analysis, budgeting, forecasting, reporting, and reimbursement analysis to support the program's sustainability.

Responsibilities include dashboards, financial statements, grant and regulatory reporting, and monitoring Medicare/Medicaid capitation revenue, with collaboration across leadership to optimize performance.

Qualifications

• Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field.
• Minimum of three years of progressive finance or accounting experience.
• Experience with budgeting, forecasting, financial reporting, and variance analysis.
• Advanced Microsoft Excel skills.
• Strong understanding of financial statements and accounting principles.
• Excellent communication and relationship management skills.

Responsibilities

• Prepare monthly PACE-specific dashboards, financial statements, and management reports.
• Analyze revenue, expenses, participant census, utilization, and staffing trends.
• Monitor program profitability and contribution margin.
• Assist with month-end close activities and reconciliation processes.
• Support financial reporting requirements related to grants, contracts, and regulatory agencies.
• Monitor Medicare and Medicaid capitation revenue.
• Analyze reimbursement trends and revenue projections.
• Evaluate the financial impact of participant risk scores, enrollment changes, and utilization patterns.
• Monitor medical and pharmacy claims adjudication and evaluate overall TPA processes for opportunities.

Skills

Advanced Excel

Financial analysis

Financial reporting

Education

Bachelor's degree in Accounting/Finance/Healthcare Administration or related field

Tools

NetSuite

Power BI

Microsoft Fabric

Job description

Finance Manager, PACE

Job Summary:

Blue Ridge Care is seeking a highly analytical and mission-driven Finance Manager, PACE to support the financial success and sustainability of our Program of All-Inclusive Care for the Elderly (PACE). This position serves as the primary finance partner for PACE operations, providing financial analysis, budgeting support, reporting, forecasting, reimbursement analysis, and operational performance monitoring.

Responsibilities:

• Prepare monthly PACE-specific dashboards, financial statements, and management reports
• Analyze revenue, expenses, participant census, utilization, and staffing trends
• Monitor program profitability and contribution margin
• Assist with month-end close activities and reconciliation processes
• Support financial reporting requirements related to grants, contracts, and regulatory agencies
• Monitor Medicare and Medicaid capitation revenue
• Analyze reimbursement trends and revenue projections
• Evaluate the financial impact of participant risk scores, enrollment changes, and utilization patterns
• Monitor medical and pharmacy claims adjudication and evaluate overall TPA processes for opportunities

Requirements:

• Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field
• Minimum of three years of progressive finance or accounting experience
• Experience with budgeting, forecasting, financial reporting, and variance analysis
• Advanced Microsoft Excel skills
• Strong understanding of financial statements and accounting principles
• Excellent communication and relationship management skills

Preferred:

• Healthcare finance experience, preferably PACE, managed care, hospice, home health, senior care, or post-acute care
• Experience working with Medicare and Medicaid reimbursement models
• Experience with NetSuite, Power BI, Microsoft Fabric, or similar financial reporting tools
• Experience in nonprofit healthcare organizations

What You'll Bring:

• Strong financial modeling and analytical skills
• Ability to interpret complex financial data and communicate results effectively
• Understanding of healthcare reimbursement and utilization management
• Knowledge of budgeting, forecasting, and performance measurement
• Strong organizational and project management abilities
• Ability to manage multiple priorities in a fast-paced environment
• Commitment to continuous improvement and operational excellence

Reports to:

Director of Finance

Supervisory Responsibilities:

May supervise financial analysts, reimbursement specialists, or other assigned finance staff

Why Blue Ridge Care?

At Blue Ridge Care, our team members are united by a commitment to compassionate service, integrity, excellence, and stewardship. We offer the opportunity to make a meaningful impact while working alongside dedicated professionals who are improving the lives of those we serve every day.