Director of Finance – Skilled Nursing

Director of Finance – Nursing Home / Long-Term Care

Nextier Health Group is seeking a Director of Finance to lead and oversee the financial operations of our growing network of skilled nursing and long-term care facilities.

Key Responsibilities

Financial Strategy & Leadership

• Lead budgeting, forecasting, and financial planning across all facilities
• Provide actionable financial insights to executive leadership
• Monitor key performance indicators including census, payer mix, labor costs, and margins

Accounting & Reporting

• Oversee monthly financial close and reporting processes
• Ensure accuracy of financial statements and internal controls
• Present financial performance and trends to leadership

Revenue Cycle & Cash Flow

• Monitor Medicare, Medicaid, and managed care reimbursement
• Manage cash flow

Compliance & Cost Reporting

• Ensure compliance with all healthcare financial regulations
• Oversee Medicare and Medicaid cost reporting processes
• Coordinate audits and external financial reviews

Operational Support

• Partner with Administrators and regional leaders to improve facility performance
• Analyze labor, agency usage, and operational efficiencies
• Identify opportunities to increase revenue and reduce costs

Qualifications

• 7+ years of finance/accounting experience, with leadership responsibility
• Prior experience in skilled nursing, long-term care, or healthcare required
• Strong knowledge of Medicare/Medicaid reimbursement and cost reporting
• Advanced Excel and financial modeling skills

Preferred:

• CPA or MBA
• Experience in multi-facility healthcare operations
• Background in owner-operated or growth-focused organizations

Please note: Candidates must have direct experience in skilled nursing or long-term care. Applicants without this background will not be considered.

Pay: $1.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: Hybrid remote in Beachwood, OH 44122