Director of Finance

Cedar Valley Hospice is the premier hospice agency serving 15 counties with offices in Waterloo, Grundy Center, Independence, and Waverly. At Cedar Valley Hospice you will work with the best team of clinicians, administrative staff and managers, utilizing highly regarded practices to provide optimum customer service to our patients and their families. As a not-for-profit organization, we believe "compassionate care" is not just a phrase spoken, but rather a way of living and working every day to help support clients and their families. Our mission exemplifies the organizations focus on providing the best care possible for clients at home or wherever they reside.

Job Summary

The Director of Finance provides strategic leadership and oversight of all financial functions to support the mission, sustainability, and growth of Cedar Valley Hospice. This role is responsible for financial planning, budgeting, reporting, revenue cycle management, and regulatory compliance. The Director of Finance serves as a key member of the Executive Team, partnering with agency leaders to ensure strong financial stewardship and long-term organizational health.

Overview

Job Title: Director of Finance

Location: Waterloo, Iowa

Position Type: Full time (1.0 FTE), exempt

Reports to: Executive Director

Benefits: Cedar Valley Hospice provides an excellent benefit package including: a family friendly work environment, generous paid time off, and quality benefit options including a 401k plan. Public service loan forgiveness (PSLF) eligible employer. 

Key Responsibilities:

Strategic Leadership

• Serve as a strategic advisor to the Executive Director and Executive Team on financial performance, trends, and long-term planning.
• Develop and implement financial strategies that support high-quality patient care, mission alignment, and organizational sustainability.
• Provide financial insights to guide decision-making related to program development, staffing, facilities, and community partnerships.

Financial Operations

• Oversee daily financial operations, including accounting, payroll, accounts payable, accounts receivable, and cash flow management.
• Lead the preparation of monthly, quarterly, and annual financial statements and analysis.
• Ensure accurate and timely reporting of hospice billing, reimbursement, and revenue cycle activities (Medicare, Medicaid, private insurance, and self-pay).
• Manage the annual audit process and coordinate with external auditors.
• Oversee financial components of the organization's 401(k) plan and employee benefits processes, ensuring accurate contributions, compliance with regulatory requirements, and effective coordination with HR and third-party administrators.
• Oversees year-end tax reporting.

Budgeting, Forecasting & Data Analytics

• Lead the development of the annual operating and capital budgets.
• Monitor financial performance against budget and provide variance analysis and recommendations.
• Conduct financial forecasting and scenario modeling to support strategic decision-making.
• Oversee data analytics for financial, operational, and clinical performance metrics to inform strategic planning, identify trends, and drive organizational improvement.

Compliance & Risk Management

• Ensure compliance with all federal, state, and non-profit financial regulations, including Medicare Conditions of Participation and OMB requirements when applicable.
• Maintain strong internal controls and safeguard organizational assets.
• Oversee insurance coverage, risk management practices, and investment policies.

Leadership & Collaboration

• Supervise and mentor the Finance team, promoting a culture of accountability, accuracy, and continuous improvement.
• Collaborate with clinical, development, and other leaders to align financial resources with organizational priorities.
• Present financial updates to the Board of Directors and Finance Committee.

Additional Responsibilities

• Support grant management, including financial reporting and compliance.
• Support organizational contract management, including new and existing contracts.
• Provide financial guidance for fundraising strategies, donor stewardship, and restricted funds.
• Participate in organizational initiatives, quality improvement committees, and strategic planning.

Qualifications

Education & Experience

• Bachelor's degree in Accounting, Finance or related field required.
• CPA or Master's degree strongly preferred.
• Minimum 7–10 years of progressive financial leadership experience, preferably in healthcare or a non-profit organization.
• Hospice, home health, or Medicare-based reimbursement experience highly desirable.

Skills & Competencies

• Strong understanding of GAAP, non-profit accounting, and Medicare billing.
• High level of integrity, ethical standards, and commitment to mission-driven work.
• Demonstrated ability to lead teams, manage complex financial environments, and partner with executive leadership.
• Excellent communication, analytical, and problem-solving skills.
• Ability to translate complex financial data into clear, actionable insights for non-financial stakeholders.
• Proficiency in Microsoft Office Suite, including advanced Excel skills (financial modeling, pivot tables, and data analysis).
• Current Iowa driver's license, reliable vehicle, and car insurance.

Physical Requirements & Working Conditions

• Work Environment: Primarily office-based with occasional visits to clinical or operational sites. Work may involve exposure to standard office conditions, occasional patient care areas, and community events.
• Physical Demands: Must be able to sit for extended periods, use office equipment (computers, phones, printers), and occasionally lift or move materials up to 25 lbs. Frequent use of hands and fingers for typing, data entry, and document management is required.
• Mobility: Ability to walk short distances within office and clinical sites. Occasional standing, bending, or reaching to retrieve files, supplies, or office equipment.
• Sensory Requirements: Normal visual and auditory abilities needed to review financial documents, interpret reports, and participate in meetings.
• Working Hours: Full-time, exempt position. Standard office hours with flexibility for early mornings, evenings, or weekends as needed to meet deadlines, attend Board or committee meetings, or support organizational events.
• Stress & Environment Management: Ability to work in a high-responsibility environment that may involve competing deadlines, sensitive financial data, and strategic decision-making under pressure.
• Employment at Cedar Valley Hospice requires being fully vaccinated for COVID-19 (Boosters are not required) OR have an approved request for reasonable accommodations for a medical, pregnancy, or religious reason, by the start date.
• Pre-employment/post-offer physical, TB, and drug screen required.

If you are ready to make a positive difference in the lives of families and work passionately for an award-winning employer, apply today Interested applicants should apply online at

Equal Opportunity Employer Statement

Cedar Valley Hospice is an equal opportunity employer. Cedar Valley Hospice prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, genetic information, status as a protected veteran, political affiliation, or any other characteristic protected by law.