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VP of Finance- Senior Care

Ascentria Care Alliance

This is a Full-time position in Worcester, MA posted November 21, 2021.

Ascentria Care Alliance employees and volunteers take pride in the impact they have on the people they serve.

It’s more than just a job, it’s an opportunity our employees have to care for and share in the lives of people who greatly need and appreciate their presence.

Ascentria Care Alliance focuses on every child, elder, disabled person, refugee, endangered teen or teenage mom in order to build stronger communities one person at a time.

This is an excellent opportunity to enhance the operations of a $115m non-profit social service and health care organization with programs throughout New England.


The Senior Care division of Ascentria Care Alliance is a multi-State operation that currently consists of 5 skilled nursing centers and an IL/AL/Congregate housing community.

The Vice President Finance, Senior Care is responsible for the accuracy, integrity and overall control of the Senior Care financial and reporting systems for an operating budget of $75 million.

The Vice President of Finance maintains an accounting environment that ensures financial compliance with GAAP, applicable laws, regulatory authorities, governmental entities, contractual obligations and terms, and grant requirements.

The position will provide a high degree of support and training to those under his/her supervision in order to ensure the production of timely, accurate and relevant financial data to those the Finance team serves.

Proven experience with skilled nursing accounting billing, collections and reporting is key to the success of the Vice President.

The Vice President Finance, Senior Care will lead a Finance team of 4 staff through their responsibilities related to financial planning, forecasting, reporting, business modeling, and revenue/expense analysis for Ascentria’s senior care subsidiaries.

This Vice President of Finance, Senior Care role is tasked with identifying, analyzing, and recommending solutions that improve operating results based on in-depth analyses of the organization’s cost structure and key business drivers.

He or she plays a key role in assisting executive leadership with decisions that significantly impact the strategic direction of the organization.

He/she must be adept at developing, synthesizing and presenting complex data, and providing timely, relevant and accurate metrics/analyses to program directors, administrators and other senior leaders.


  • Develop, improve and issue accurate, timely & relevant monthly financial records and reports for Management and Board of Directors.
  • In conjunction with the Chief Financial Officer and the Chief Senior Care Officer, ensure the maintenance of effective internal controls to assure assets of the Organization are safeguarded and that financial statements are reliable.
  • Maintain and oversee all content within the senior care general ledger so that it accurately reflects the financial activity of the organization.
  • Assist in the resolution of any accounting and financial problems and/or issues.
  • Lead the Accounts Receivable Team to ensure billings are accurate, adhere to strict billing deadlines and comply with policies, procedures and regulations.
  • Manage reconciliations, collections and vendor payments on a monthly and annual basis.
  • In collaboration with IT, define system needs, evaluate options, recommend and implement software solutions that impact financial systems.
  • In conjunction with the Chief Financial Officer, ensure current and complete operating procedures for all accounting and financial controls.
  • Assist with the interpretation of financial data and present results to the appropriate operating staff.
  • Meet required financial reporting deadlines, both internally and for any/all requirements outlined by governmental entities and other funding sources.
  • Design and coordinate the annual forecasting and budget planning processes for elder services; provide timelines to departmental leaders for relevant deliverables while consolidating data from multiple business units.
  • Lead cross-departmental teams tasked with identifying and executing upon strategic efficiencies to improve operating results; consolidating, budgeting, and reporting for senior management.
  • Offer creative solutions for challenges presented in an evolving business environment; work with department managers around business and fiscal issues in their respective operations.
  • Lead the development, maintenance and improvement of financial models, analyses and exhibits used in management presentations and executive decision-making support.
  • Utilize metrics and other analytics to track key revenue and expense drivers to predict performance and mitigate inherent financial and operating risk.
  • Support senior management on financial presentations to key stakeholders.
  • Analyze senior care business results at various intervals for changes in profitability and trends, and provide performance data and analysis to senior leadership.
  • Forecast senior care year-end performance based on current year trends.
  • Participate in the review of projects, proposed projects, revenue contracts or grant proposals and understand the cash flow of the Organization, provide analysis as needed.
  • Monitor key financial systems to track contract performance in accordance with executed funding documents.
  • Oversees assigned finance staff, participates in hiring decisions, and ensures that all new staff are onboarding appropriately to meet the requirements of their position.
  • Support staff and team in meeting training requirements, coaching and mentoring staff and effective and timely performance evaluations to ensure a high-performing team.
  • Conducts ad hoc financial analysis to ensure that the organization is able to achieve its mission.
  • Attend Finance Committee and/or Board of Directors meetings, as required.
  • Participates on Project Teams and/or Committees, as needed.

    Including Leadership Council.

  • Other duties as assigned.
  • Travel across Ascentria’s locations to attend meetings and meet business needs up to 25%


  • BA/BS and 10+ years of relevant long-term care finance , and general ledger experience is required, CPA preferred.
  • MBA or an advanced degree is preferred, but not required.
  • Proven financial analysis skills, knowledge of operations and project management.
  • Excellent verbal and written communication skills; proven presentation skills and the ability to communicate effectively with all levels of management.
  • Strong knowledge of senior care industry and relevant rules and regulations
  • Strong Microsoft Office skills are required.
  • Willingness to work a flexible schedule, including periodic evenings and weekends to meet compliance and auditing deadlines.
  • Ability to prioritize, multitask, delegate and address subordinate performance against agreed upon metrics on a timely basis.
  • Innovative
    – encourages and guides innovative approaches to address financial systems, internal control problems and reporting requirements and challenges; utilizes state-of-the-art practices to ensure financial reports aid the operating team and help strategically move the organization in making well-informed, timely decisions and implements creative solutions to solve problems.
  • Strong Decision Maker
    – identifies and understands issues, problems, and opportunities and determines appropriate course of action; implements decisions and takes the proper action that is consistent with available facts, constraints, and probable consequences; identifies areas that may hold promise for improving operating results and determines the best solution; uses discretion and makes decisions that demonstrate sound judgment.
  • Technically Proficient
    – proven ability to manage the internal controls, financial reporting, budgeting tools and audit cycle, models, schedule and insure data integrity, skilled at forecasting and performance, analyzing business results; able to identify trends and reporting outcomes.
  • Extraordinary Manager – works to ensure a high performing, professional team; provides support, training and effective guidance and pathways that enable the team to deliver high quality, timely, data to all the constituents served by the Finance team.
  • Organized
    – proven ability to establish strategic goals and ensure work is completed efficiently; strong problem-solving skills, including the ability to recognize, track and analyze current business problems and implement solutions; a strong orientation to detail and accuracy; the ability to prioritize, multitask and lead a team in priority activities.

Physical/Mental Demands:

The physical demands described here are representative of those that must be met by an employee of this job.

Reasonable accommodations may be made to enable an individual with disabilities to perform the essential duties of the position.

Physical Demands are generally:

– While performing the duties of this job, the employee is regularly required to stand; walk; sit and talk or hear. The employee must occasionally lift and/or move up to 20 pounds.

Specific vision abilities required by this job include Close vision, Distance vision, Peripheral vision, Depth perception and Ability to adjust focus.

The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms.

  • Required to sit for long periods of time.
  • Infrequent light physical effort required
  • Requires driving own vehicle with valid driver’s license to various sites across multiple states, 25%

Mental Demands are generally:

While performing the duties of this job, the employee is regularly required to problem solve, make decisions, interpret data and organize. 

  • Ability to do detailed work with high degree of concentration
  • Ability to work under stress or in a fast-paced environment. 

Travel Required

Yes .

Travel to sites across MA & CT




Masters or better.



10 years: Relevant long-term care finance & general ledger