VP/Director of Finance

About the role

We are looking for an experienced finance leader to guide the fiscal strategy and day-to-day financial operations of our healthcare organization in Greenville, South Carolina. This role will oversee core functions such as accounting, payroll, budgeting, reporting, and client accounts while supporting sound decision-making across the agency. The ideal candidate brings strong leadership, a deep understanding of financial management standards, and the ability to partner effectively with executives, program leaders, and board stakeholders.

Responsibilities

• Lead the organization’s financial operations, including accounting, payroll, accounts payable, accounts receivable, and related fiscal activities, with a focus on accuracy, compliance, and strong internal controls.
• Manage the annual budgeting cycle by partnering with department leaders to develop financial plans, consolidate recommendations, and present budget guidance to executive leadership and governing boards.
• Review program-level financial performance each month, deliver clear analysis to leadership, and recommend actions that support fiscal stability and operational effectiveness.
• Prepare and present monthly, quarterly, and annual financial reports that communicate the organization’s overall financial position and key performance trends.
• Establish, refine, and enforce financial policies and procedures that protect organizational assets and promote consistent adherence to accounting standards and agency requirements.
• Provide leadership and direction to finance and client account teams, including coaching staff on financial procedures, reporting expectations, and systems-related responsibilities.
• Support accreditation readiness and external compliance efforts by aligning financial practices with applicable standards and maintaining effective documentation and processes.
• Contribute financial insight to strategic planning, including program expansion, reduction, sustainability decisions, and the preparation of state and federal grant submissions.
• Oversee billing workflows, receivables documentation, prior authorization monitoring, and related client service financial processes to improve accuracy and follow-through.
• Administer organizational insurance coverage and support affiliated entity financial oversight, including board reporting, donor payment tracking, and other assigned committee or administrative responsibilities.

Requirements

• At least 3 years of experience in a senior finance or accounting leadership role.
• Strong knowledge of accounting, auditing, budgeting, and financial management principles, including Generally Accepted Accounting Principles (GAAP).
• Demonstrated success managing financial programs and budgets in excess of $5 million.
• Experience developing annual budgets, overseeing month-end close activities, and producing accurate financial reporting.
• Ability to analyze budget performance and prepare cash flow forecasts to support planning and decision-making.
• Proficiency with Microsoft Office applications and finance or accounting software systems.
• Excellent written and verbal communication skills, with the ability to build effective relationships across leadership teams, staff, and board members.
• High level of professionalism, discretion, and customer service in handling sensitive financial matters.