This leadership role provides enterprise oversight for financial planning and analysis, financial reporting, revenue cycle, cash forecasting, treasury coordination, and finance operations across Presbyterian Homes & Services and its affiliates. Reporting to the Chief Financial Officer, this position translates organizational strategy into disciplined financial execution, ensures timely, accurate, transparent, scalable, and compliant financial processes and information, and supports informed decision-making, financial sustainability, and long-term organizational growth. Accountability for the performance of the finance function as a whole rests with this position, which leads through subordinate leaders rather than through direct execution of the accounting cycle.
Responsibilities
Lead enterprise financial strategy and execution in alignment with the organization's mission, operating philosophy, and strategic plan
Recommend capital allocation priorities and approve the financial framework, return thresholds, and pro forma standards used to evaluate new communities, expansions, service lines, and other growth investments
Own the financial case for organizational restructuring, growth, and new business models, including scenario development and go or no-go recommendations to the CFO and executive team
Direct annual operating and capital budgeting, multiyear financial planning, sensitivity analysis, and scenario modeling
Own the enterprise financial planning and analysis function, including forecasting methodologies, KRA reporting, and performance management frameworks
Hold enterprise accountability for accounting operations, including the general ledger, consolidation, intercompany activity, accounts payable, fixed assets, and the monthly and annual close
Approve the close calendar, materiality thresholds, and quality standards
Resolve escalated or judgmental accounting positions
Approve and interpret the consolidated financial statements, disclosures, and management reporting
Determine the financial information provided to the Board, lenders, auditors, regulators, and operational leaders
Represent enterprise results to those audiences
Own the design and effectiveness of the enterprise internal control environment
Approve the annual external audit scope, fee, and firm relationship in coordination with the CFO
Accept or challenge audit findings and approve remediation plans
Direct enterprise revenue cycle operations, including billing, collections, and receivables management
Set enterprise targets and tolerances for payer mix, reimbursement, denials, bad debt, and credit balances
Hold leaders accountable to those targets and direct structural corrective action when results fall short
Own the enterprise cash forecast and liquidity position, including forecasting methodology, assumptions, and reporting to the CFO and Board
Millions of jobs, with real people getting hired every day
200,000+
New jobs added daily
7,000,000+
Verified job listings
1,000,000+
Tailored applications submitted
Own operating banking relationships, treasury structure, and cash management policy
Partner with the CFO and VP, Capital Markets on debt compliance, covenant monitoring, and capital structure planning
Oversee the enterprise financial compliance framework, tax compliance oversight, and regulatory readiness across states, entities, and business lines
Approve the finance and accounting systems roadmap and investment priorities
Champion automation, standardization, and process improvement across finance operations
Lead financial due diligence, integration planning, controls implementation, and post-transaction finance integration for mergers, acquisitions, and strategic transactions
Determine the organizational design, staffing model, spans of control, and sourcing strategy for the finance and revenue cycle function, including which work is centralized, distributed, automated, or outsourced
Lead workforce and succession planning for critical finance roles
Present and interpret enterprise financial results, forecasts, and recommendations to the CFO, Board, and Finance Committee, owning the integrity of the materials presented
Serve as the CFO's designee on enterprise finance matters and represent Finance to leadership groups as designated by the CFO
Requirements
Bachelor's degree in accounting required
Master's degree preferred
CPA strongly preferred
12+ years of progressive accounting or finance leadership experience, including at least 5 years in senior leadership with enterprise-level scope
Demonstrated success leading through other leaders, developing finance talent, succession planning, and building capability across distributed teams
Experience leading multi-entity finance operations, budgeting, forecasting, financial reporting, and revenue cycle functions
Ability to translate complex financial and operational data into strategic insights, scenario analyses, and actionable recommendations supporting enterprise decision-making
Experience with Skilled Nursing Facility billing, Medicaid, Medicare, and multi-state operations
Senior living, healthcare, nonprofit, or regulated industry experience preferred
Experience supporting mergers, acquisitions, affiliations, financing activities, lender relationships, or other complex strategic transactions preferred
Experience scaling and transforming finance processes, systems, controls, and leadership capability in a complex or growing organization, including enterprise system implementation, automation, process standardization, and change leadership
Demonstrated executive presence and ability to communicate complex financial information and recommendations to executive leadership, boards, finance committees, auditors, lenders, operational leaders, and other internal and external stakeholders
Executive-level knowledge of U.S. GAAP, internal controls, audit requirements, financial disclosures, and regulatory compliance
Demonstrated judgment in managing financial risk, confidentiality, ambiguity, and the balance among mission, compliance, growth, and financial sustainability
Benefits
Health and dental, including applicable HSA & FSA
Employer contribution to HSA for eligible health plans
Life insurance (AD&D)
Retirement, with eligibility for an employer match
Holiday pay and extended sick
Vision insurance
Voluntary short-term & long-term disability
Accident & hospitalization coverage
Education assistance programs
Accrue PTO (Paid time off)
Same-day pay
Employee assistance program (EAP)
College partnership educational discounts
Access to Learn to Live Resources
Important Details
Employment type: Full-time benefits-eligible employment begins at a minimum of 30 hours per week; Full and Part-time benefits-eligible employment working between 20-29 hours per week
About the Company
Presbyterian Homes & Services (PHS), based in St. Paul, Minnesota, is a nonprofit, faith-based organization providing a broad array of high-quality housing choices, care and services options for older adults. Some 8,000 employees serve more than 41,800 older adults through 60 PHS-affiliated senior living communities in Minnesota, Iowa and Wisconsin, and through Optage ® home and community services. PHS is also co-owner of Genevive, the largest geriatric primary care practice in Minnesota, providing comprehensive care for more than 15,500 older adults. Established in 1955, PHS has earned the reputation as an innovative leader dedicated to promoting independence, purposeful living and the overall well-being for those they serve. Today, PHS is one of the largest nonprofit providers of senior housing and services in the nation.
