VP of Budgeting- Nursing Home Operations

Join a dynamic and mission-driven organization dedicated to providing high-quality care in skilled nursing and long-term care facilities across multiple states.

Job Type: Full-Time.

Benefits Offered:

• Healthcare
• Dental
• Vision
• PTO
• 401K

Position Summary:

The Vice President (VP) of Budgeting is a key executive leadership role responsible for overseeing financial planning, budgeting, and revenue analysis for a multi-state nursing home operator. Reporting directly to the Chief Financial Officer (CFO) and Chief Executive Officer (CEO), this role focuses on optimizing financial performance through cost control, PPD analysis, labor management, and reimbursement assessments to maximize profitability while maintaining quality resident care.

The VP of Budgeting collaborates closely with facility leadership, regional operations, and finance teams to assess revenue vs. cost per resident, labor efficiencies, and contract competitiveness. This position is based at the Los Angeles Corporate Office and requires in-office collaboration with executive leadership.

Key Responsibilities:

• Budgeting, PPD Analysis & Financial Planning
• Develop and oversee annual budgets, financial projections, and cost-saving strategies for skilled nursing and long-term care facilities.
• Conduct PPD analysis to ensure facility spending aligns with census and reimbursement rates.
• Monitor labor cost trends, overtime utilization, and agency staffing to optimize staffing levels within budget.
• Provide financial modeling and variance analysis to track facility financial performance and implement corrective actions.
• Identify and recommend cost-saving initiatives without compromising care quality or regulatory compliance.
• Revenue & Cost Analysis
• Analyze reimbursement rates vs. actual cost per resident, identifying areas of profitability and financial risk.
• Evaluate payer mix trends, Medicaid/Medicare reimbursement structures, and private payer contracts to maximize revenue potential.
• Review vendor contracts and service agreements to identify cost-effective alternatives and eliminate unnecessary expenses.
• Work with facility administrators and regional teams to adjust financial plans in response to census fluctuations and operational needs.
• Labor Management & Expense Control
• Assess labor spending relative to facility census and PPD metrics, ensuring workforce efficiency without exceeding budgetary limits.
• Develop and implement labor cost controls, identifying opportunities to reduce overtime, contract labor, and agency staffing usage.
• Partner with HR and operations to ensure recruitment and scheduling practices align with financial and operational goals.
• Provide financial guidance to facility and regional leadership to optimize staffing levels while maintaining compliance with state and federal regulations.
• Financial Reporting & Compliance
• Prepare and present detailed financial reports to the CFO, CEO, and Board of Directors, highlighting budget performance, PPD trends, and labor cost controls.
• Monitor key financial indicators (KPIs) such as operating margins, labor costs per resident, and expense ratios.
• Ensure financial compliance with GAAP, Medicaid/Medicare reimbursement guidelines, and state regulations.
• Oversee financial audits and ensure accurate cost reporting across all facilities.
• Strategic Collaboration & Leadership
• Partner with regional directors, facility administrators, and finance teams to develop data-driven strategies that improve financial outcomes.
• Support mergers, acquisitions, and financial integrations, conducting due diligence on financial performance and operational risks.
• Provide leadership and mentorship to financial analysts and budget teams, fostering a culture of fiscal responsibility.
• Implement financial automation tools, labor tracking systems, and real-time reporting dashboards to enhance efficiency.

Qualifications & Experience:

• Bachelor’s degree in Finance, Accounting, Business Administration, or Healthcare Administration
• Master’s degree (MBA, MHA) or CPA certification, preferred.

• Experience in budgeting, financial planning, or revenue analysis, with a strong preference for skilled nursing or long-term care operations.
• 5 years in an executive or senior leadership role, managing multi-state financial operations.
• Advanced proficiency in PPD analysis, financial modeling, and labor cost management.
• Experience with healthcare finance systems, electronic health records (EHR), and Medicaid/Medicare reimbursement structures.
• Strong knowledge of state-specific regulations and financial compliance in TX, AZ, NM, MO, and IN.
• Strategic thinker with strong analytical and problem-solving skills.
• Excellent leadership and communication skills to engage stakeholders at all levels.
• Ability to manage multi-site financial operations and work in a fast-paced, highly regulated environment.