Vice President of Finance

About the role

Ensign Services, Inc. is seeking a strategic and operationally focused Vice President of Finance to join their Service Center in Dallas, Texas. This leader will play a critical role in supporting their rapidly growing healthcare operations across Texas.

Responsibilities

• Serve as the senior finance business partner to Texas operational leadership and executive teams, helping drive financial performance, operational execution, and long-term strategic growth.
• Partner closely with facility operators and market leaders to align financial strategy with operational priorities and patient care objectives.
• Translate financial data into actionable business insights that support operational decision-making and organizational performance.
• Support strategic growth initiatives including acquisitions, hospital partnerships, operational integrations, and expansion opportunities across Texas.
• Build and maintain strong relationships with hospital district partners, consultants, external auditors, and regulatory agencies through proactive communication, collaboration, and trusted financial leadership.
• Provide executive-level financial analysis and recommendations to support strategic investments, operational initiatives, and long-range planning.

Financial Leadership & Stewardship

• Lead and oversee preparation of monthly, quarterly, and annual financial reporting processes in accordance with GAAP and organizational standards.
• Oversee financial operations, balance sheet integrity, account reconciliations, and financial analysis across multiple operations and business lines.
• Maintain and strengthen internal control environments to ensure reporting accuracy, compliance, and operational accountability.
• Identify financial and operational trends, risks, and opportunities and proactively develop solutions in partnership with operational leadership.
• Ensure strong financial discipline while supporting continued organizational scalability and growth.
• Lead the day-to-day accounting functions within the Dallas service center and collaborate with the other service centers.

Operational Analytics

• Lead forecasting, KPI development, and long-range financial planning processes for Texas operations.
• Develop reporting and analytics that help operational leaders better understand reimbursement dynamics, labor trends, operational efficiencies, and performance drivers.
• Provide financial modeling and operational analysis to support growth initiatives, strategic partnerships, and investment decisions.
• Drive visibility into operational and financial performance through meaningful dashboards and executive reporting.

Regulatory & External Partnership

• Support compliance with state and federal healthcare regulations, reimbursement requirements, and financial reporting obligations.
• Partner with regulatory agencies, hospital districts, and external stakeholders to ensure transparency, accountability, and strong financial stewardship.
• Help operational leadership navigate complex healthcare reimbursement and regulatory environments while balancing financial and strategic objectives.
• Support audit readiness and compliance initiatives across Texas operations.

Leadership & Team Development

• Lead, mentor, and develop high-performing accounting and finance professionals within the Dallas Service Center.
• Foster a culture centered around operational partnership, accountability, continuous improvement, and professional development.
• Build scalable processes, enhance operational efficiencies, and support automation and standardization initiatives across the finance organization.
• Develop strong cross-functional partnerships throughout the organization while reinforcing Ensign’s culture of ownership and leadership development.

Requirements

• 10+ years of progressive accounting and finance leadership experience, including senior-level operational finance responsibilities.
• Public accounting experience combined with healthcare or multi-site operational finance experience, strongly preferred.
• Bachelor’s degree in Accounting or Finance required; CPA strongly preferred.
• Strong knowledge of GAAP, internal controls, financial reporting, and healthcare finance operations.
• Demonstrated ability to partner effectively with operational leaders and executive teams.
• Strong executive communication skills with the ability to communicate financial concepts clearly and influence decision-making.
• Experience building relationships with external stakeholders, including regulatory agencies, consultants, auditors, and hospital partners preferred.
• Strong analytical, strategic thinking, and operational problem-solving capabilities.
• Advanced Excel skills required; Workday Financials experience preferred.
• Ability to thrive in a fast-paced, entrepreneurial, and growth-oriented environment.
• Travel may be required occasionally.