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Director Finance, Health Services


Plans, directs and coordinates the business and financial functions for a specific Program to ensure streamlined, effective and efficient operations. Collaborates with Program leadership in the development, evaluation, and implementation of business, operational and financial activities, including policies and procedures. Works under general direction.

  • Analyzes the business and financial operations for the Program.  Develops, evaluates and implements business activities, program development, and contractual relationships in order to ensure that the financial performance of the Program is enhanced by the provision of efficient/high quality services.
  • Directs and prepares the annual budget for areas including revenue, expense, and capital budgets.  Reviews and analyzes monthly variance reports, makes recommendations to Program leadership for action. Participates in financial aspects of strategic planning.
  • Manages financial and statistical reporting requirements including performance indicators, monthly key driver reports, profitability by product and other financial analyses required by VNSNY Senior Leadership and/or the Board.
  • Acts as the primary representative to Corporate Finance on all budgetary matters (i.e., audits, operational flows, cost report activities).
  • Provides oversight for departmental administrative services.  Develops procedures and ensures that they are adhered to; follows up with assigned staff to ensure projects being handled by department are on target. Approves/monitors, purchases inventory and ensures that the department stays within the budget and meets assigned goals.
  • Establishes and fosters positive relationships with internal and external customers and acts as a liaison between the Program and Corporate Finance to ensure timely accrual of monthly and ad hoc reporting of program expenses. Identifies/evaluates and resolves issues/problems as needed.
  • Collaborates with program leadership to create statistical and financial reports for presentations, reports and publication including, quarterly reports to senior leadership and to the Hospice Board of Directors.  .
  • Participates as a member of the Program Leadership Team in planning annual strategic activities, including the establishment of program/department goals.  Monitors activities to ensure department goals are met, including research and evaluation of existing operations and alternatives, such as present and future needs, trends and potential business opportunities.
  • Works in conjunction with the Senior leadership to develop and maintain a cooperative and effective relationship between the clinical and business staff that is supportive of both VNSNY and Program goals.
  • Identifies opportunities for process improvement and efficiencies and continuously reevaluates business model(s).  Formulates and issues updated departmental policies, procedures and systems to address changing business needs.
  • Performs all duties inherent in a senior managerial role.  Approves staff training, hiring, promotions, terminations and salary actions.  Prepares and ensures adherence to the department budget.
  • Participates in special projects and performs other duties, as required.

For Hospice only:

  • Meets with vendors and outside contractors to evaluate, select and negotiate new contracts and Agreements and renegotiate existing agreements. Ensures full regulatory compliance in contract development and implementation.
  • Manages vendor contracts and relationships; ensures vendor services are meeting program needs.   Follows up on issues identified by internal staff and works with vendors to facilitate a positive outcome.  Takes the lead on issues that are escalated when a department leader is unable to resolve them independently.

For Managed Services Organization (MSO) Only:

  • Collaborates with senior leadership to identify and build a new business within VNSNY, which includes transaction analysis and legal entity establishment.
  • Provides market insight into the development of new products and services.
  • Creates methodologies to track achievement to business case once MSO is initiated.



  • Bachelor’s Degree in Accounting, Finance, Business Administration or related area required. 
  • Master’s Degree in Public Administration, Business Administration, Finance, Accounting or a related field preferred.


  • Minimum seven years experience working in finance, business and/or operational administration in a health care organization required. 
  • Minimum three years of experience in a supervisory role required. 
  • Demonstrated experience designing transformational and cost effective sustainable operating care delivery financial models required. 
  • Effective oral/written communication and interpersonal skills required. 
  • Strong budgeting techniques, administrative, organizational and analytical skills required. 
  • Proficient in personal computer, preferably Microsoft Windows, Word and Excel required.
  • Product development and pricing experience preferred.Experience in payer-provider risk modeling experience preferred.


The Visiting Nurse Service of New York (VNSNY) is one of the nation's largest not-for-profit home- and community-based health care organizations, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Counties. For over 125 years, VNSNY has been committed to improving the health and well-being of people through high-quality, cost-effective health care in the home and community. We offer a wide range of services, programs, and health plans to meet the diverse needs of our patients, health plan members, and clients from before birth to the end of life. On any given day, VNSNY employees - including nurses, rehabilitation therapists, social workers, home health aides and other professionals - deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to approximately 40,000 individuals in our care helping them to live the best lives possible in their homes and communities.