Senior Director of Senior Services Finance/FP&A
Job Category: Finance
Requisition Number: SENIO
Posted: January 15, 2026 | Full-Time | Hybrid
Locations
Lighthouse at Ascentria
18 Chestnut Street
Suite 410
Worcester, MA 01608, USA
- · Bachelor’s degree in Finance, Accounting, or related field required
- · 10+ years of senior living, skilled nursing, or healthcare finance experience required
- · CPA, MBA or advanced degree preferred
- · Proven experience in skilled nursing billing, collections, and reporting
- · Advanced proficiency in Microsoft Office and financial systems
- · Ability to work flexible hours to meet reporting and compliance deadlines
Technical & Industry Expertise
- Senior living and skilled nursing financial economics
- Reimbursement, billing, and regulatory compliance
- Advanced financial modeling, forecasting, and analytics
- GAAP, internal controls, and audit leadership
Strategic Leadership
- Executive-level financial storytelling and influence
- Risk identification and mitigation
- Growth and acquisition financial leadership
Operational & Systems Thinking
- Revenue cycle optimization
- Financial systems integration and improvement
- Process efficiency and scalability
- Data integrity and dashboard design
- Coaching and developing finance professionals
- Clear performance expectations and accountability
- Cross-functional collaboration and influence
- Calm, disciplined leadership in complex environments
Financial Performance & Accuracy
- Forecast accuracy within ±3–5% of actuals
- Timely monthly close (within established close calendar)
- Reduction in unexplained variances and manual adjustments
Revenue Cycle & Cash Flow
- Days in Accounts Receivable (DAR) improvement
- Billing accuracy and denial rate reduction
- Cash flow predictability and reimbursement optimization
Strategic Impact
- Documented cost savings and efficiency gains
- Improved operating margin across senior living entities
- Successful financial modeling for acquisitions and capital projects
Governance & Compliance
- Clean audits with minimal findings
- On-time regulatory and grant reporting
- Internal control effectiveness and risk mitigation
- Team engagement and retention
- Completion of development plans and performance goals
- Positive stakeholder feedback from executive and operational leaders
The physical demands described here are representative of those that employees in this job must meet. Reasonable accommodation may be provided to enable an individual with disabilities to perform the essential duties of the position.
SEDENTARY - Exerts up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time but may also require walking or standing for brief periods.
- Requires the use of hands and fingers to handle files/papers/records.
- Requires stopping and reaching to file in file cabinets.
- Requires access to a vehicle and a valid driver’s license to travel to various locations.
While performing the duties of this job, the employee is regularly required to solve problems, make decisions, interpret data, and organize.
- Ability to do detailed work with a high degree of concentration
- Ability to work under stress or in a fast-paced environment.
- Ability to manage multiple tasks and projects at one time.
- Ability to make decisions quickly and use sound judgement.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.