Livingston County, New York · 4 weeks ago
Deputy Director of Finance
Geneseo, NY
Full-time
Onsite
Mid, Senior Level
5+ years expLivingston County Center for Nursing & Rehabilitation is seeking an experienced and mission-driven Deputy Director of Finance to provide strategic financial leadership within a dynamic long-term care environment. This key leadership position is responsible for overseeing all financial operations of a skilled nursing facility, ensuring accuracy, transparency, and compliance in a highly regulated healthcare setting.
Financial ServicesGovernmentNon Profit
Responsibilities
Lead all aspects of financial management, including accounting, budgeting, forecasting, cash flow oversight, and audit coordination
Ensure timely, accurate financial reporting and maintain strong internal controls
Manage and interpret state and federal reimbursement systems, including Medicare and Medicaid—particularly New York’s Medicaid rate methodologies, cost reporting, and DOH compliance requirements
Oversee preparation of regulatory, cost, financial and other required reports
Provide financial insights and clear communication to facility leadership, boards/committees, and regulatory partners
Guide and develop accounting and billing teams while improving processes and aligning financial performance with operational goals
Qualification
Required
Bachelor's degree in Accounting, Finance, or Business Administration required
5–7+ years of healthcare finance experience, including several years in a nursing home or long-term care setting
Strong understanding of Medicaid/Medicare reimbursement, healthcare cost reporting, and audit readiness
Proficiency with healthcare financial systems (e.g., PointClickCare) and advanced Excel skills
Demonstrated analytical abilities, sound judgment, integrity, and commitment to mission-driven care
Preferred
CPA or MBA preferred
Company
Livingston County, New York
Award-winning, progressive, full-service county government in New York State's Finger Lakes region.
1001-5000 employees
Funding
Current Stage
Late StageRecent News
2025-10-02
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