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Vice President of Finance – Home Health Care (Essen House Call )
Company : Essen Health Care
Location : Bronx, NY, 10451
Job Type : Full Time
Date Posted : 5 January 2026
Overview
Company Overview: At Essen Health Care, we care for that!
As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.
Essen House Calls provides in-home primary and specialty care in the New York Metro area. We are looking for the most talented and effective individuals to join our rapidly growing company. From medical providers to administration & operational staff, there is a career here for you. Join our team today!
Job Summary
Position Title: Vice President of Finance- Home Health Care (Essen House Call)
Reports To: Chief Financial Officer
Department: Finance
Industry: Home Health Care
Position Summary: The Vice President of Finance will lead the financial strategy and operations of the organization, ensuring fiscal responsibility, regulatory compliance, and strategic growth in a dynamic home health care environment. This role is responsible for overseeing financial planning, budgeting, forecasting, revenue cycle management, financial reporting, and business case development, while supporting operational excellence and patient-centered care.
Responsibilities
Strategic Leadership
Develop and execute financial strategies aligned with the organization’s mission and growth objectives.
Partner with executive leadership to evaluate new service lines, geographic expansion, and strategic investments.
Lead financial planning analysis and business case development to support strategic initiatives and investment decisions.
Financial Management
Lead the development and execution of comprehensive financial plans, including annual budgets, multi-year forecasts, and capital planning, aligned with strategic goals.
Oversee monthly, quarterly, and annual financial reporting, ensuring accuracy, timeliness, and compliance with GAAP and healthcare-specific accounting standards.
Monitor financial performance across service lines and locations, identifying trends, variances, and opportunities for improvement.
Manage cash flow and liquidity to support operational needs, growth initiatives, and risk mitigation.
Evaluate and optimize payer mix, reimbursement rates, and contract terms to enhance revenue and margin performance.
Support strategic initiatives such as new program launches, geographic expansion, and technology investments with financial modeling, ROI analysis, and business case development.
Drive automation and efficiency in financial operations through system upgrades, process improvements, and integration of financial technologies.
Provide financial leadership in cost accounting, service line profitability analysis, and benchmarking against industry standards.
Revenue Cycle Oversight
Lead billing, collections, and reimbursement processes, optimizing revenue cycle performance.
Ensure compliance with Medicare, Medicaid, and private payer requirements.
Operational Support
Collaborate closely with clinical and operational leaders to align financial strategies with care delivery models and organizational goals.
Provide financial analysis, modeling, and business case support for decisions around staffing, scheduling, patient volume, geographic expansion, and service line development.
Develop cost-efficiency initiatives across departments, identifying opportunities to reduce waste and improve resource utilization without compromising quality of care.
Monitor and analyze operational metrics such as cost per visit, patient acquisition cost, and clinician productivity to inform strategic planning.
Partner with IT and operations to implement financial systems and dashboards that provide real-time visibility into performance and financial health.
Ensure financial alignment with compliance and quality improvement initiatives, including CMS regulations, accreditation standards, and value-based care programs.
Facilitate cross-functional budgeting and forecasting processes that incorporate input from clinical and operational teams to ensure realistic and actionable financial plans.
Compliance & Audit
Ensure adherence to federal, state, and local financial regulations.
Coordinate internal and external audits and maintain strong internal controls.
Team Leadership
Build and mentor a high-performing finance team.
Foster a culture of accountability, transparency, and continuous improvement.
Qualifications
Qualifications:
Bachelor’s degree in Finance, Accounting, or related field (MBA preferred).
10+ years of progressive financial leadership experience, preferably in healthcare or home health care.
Proven experience in financial planning analysis and business case development.
Deep understanding of healthcare reimbursement models, especially Medicare and Medicaid.
Proven experience with financial systems, data analytics, and ERP platforms.
Strong leadership, communication, and strategic thinking skills.
Preferred Attributes:
Experience in scaling operations in a multi-site or multi-state home health care organization.
Familiarity with value-based care models and alternative payment arrangements.
Ability to navigate complex regulatory environments and drive financial innovation.
Equal Opportunity Employer
ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER.
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
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Frequently asked questions
A Vice President of Finance in home health care must excel in strategic thinking, regulatory knowledge, and revenue cycle optimization. Mastery of healthcare reimbursement, especially Medicare and Medicaid, combined with strong team-building and communication skills, is critical to steering financial health in a complex care environment.
By developing savvy financial strategies and guiding capital investments, the VP of Finance can enable expansion into new service lines and regions. Their role in financial forecasting and cost-efficiency initiatives directly supports sustainable growth while maintaining high-quality patient care.
Home health care finance leaders navigate unique challenges such as managing in-home service reimbursements and multi-site cash flow. Unlike hospital finance roles, they emphasize reimbursement optimization for Medicare/Medicaid and operational alignment with care delivered outside traditional settings.
Compensation typically ranges from $160,000 to $210,000 annually in Bronx, reflecting the role’s seniority and specialized healthcare finance expertise required. Factors like experience, company size, and specific financial responsibilities influence final salary offers.
The Bronx market shows increasing demand for seasoned finance leaders due to growing home health care needs. However, competition remains moderate as organizations seek candidates with deep knowledge of healthcare reimbursement and financial compliance.
Candidates should weigh Bronx’s diverse patient demographics and regulatory environment, which influence financial strategy. Additionally, cost of living and commute options may affect work-life balance. Familiarity with local Medicaid policies can provide a competitive edge.
Yes, the VP must expertly navigate federal and state healthcare regulations, including CMS guidelines and audits, ensuring strict adherence while optimizing financial operations. This requires continuous updates on regulatory changes affecting home health care reimbursement.
The VP collaborates with clinical and operational leaders, providing financial insights for staffing, service expansion, and technology investments. This partnership ensures that budgetary decisions support patient-centric care and organizational growth.
Essen Health Care favors ERP platforms and data analytics tools that enable real-time financial reporting and automation. Integration with billing systems and dashboards helps the VP monitor service line profitability and streamline revenue cycle management.
Ideal candidates hold a finance or accounting degree, preferably an MBA, with over a decade of progressive healthcare finance leadership. Expertise in Medicaid/Medicare reimbursement, financial modeling, and multi-site operational scaling is highly valued.