We are looking for an experienced finance leader to guide accounting operations, reporting, budgeting, and payroll oversight for a healthcare-focused organization in Westchester, New York. This role partners closely with senior leadership to strengthen financial controls, support regulatory compliance, and deliver timely analysis that informs operational decisions. The ideal candidate brings deep expertise in financial reporting, cash flow management, and budget planning, along with the ability to improve processes and lead a high-performing finance function.

Responsibilities:

• Direct month-end and quarter-end financial activities, ensuring complete and timely preparation of statements, cash forecasts, reconciliations, and supporting analyses.

• Oversee the integrity of financial records by reviewing transactions across finance systems and ensuring accurate posting of revenue, expenses, receipts, and disbursements to the general ledger.

• Manage capital spending oversight and maintain fixed asset records to support accurate reporting and asset accountability.

• Lead cash receipts controls and reporting practices across administrative and clinical locations, promoting consistency and reliability in affiliate-wide processes.

• Supervise payroll operations, including review and approval of bi-weekly payroll, while partnering with Human Resources and Compliance on process enhancements or system-related updates.

• Ensure required external reports and regulatory filings are completed accurately and submitted within deadlines to applicable agencies and oversight bodies.

• Coordinate the development of operating, cash, and capital budgets, and provide ongoing forecasting, variance analysis, and financial projections throughout the year.

• Partner with department and program leaders to build grant and funding proposal budgets, support public-sector voucher preparation, and maintain ledger structures that satisfy reporting requirements.

• Support audit readiness and quarterly audit activities, contribute to finance work planning, and provide materials and reporting for Board finance committee meetings.

• Serve as a member of the leadership team by evaluating finance department workflows, recommending improvements, and carrying out additional priorities assigned by the Chief Financial Office

• 10+ years of progressive finance and accounting experience, including leadership responsibility in a director-level or comparable role.
• Strong background in annual budgeting, budget administration, forecasting, and month-end close management.
• Demonstrated expertise in financial reporting, general ledger oversight, bank reconciliations, and cash flow forecasting.
• Experience managing payroll processes, internal controls, and compliance-driven financial operations.
• Knowledge of healthcare finance practices and reporting requirements within a regulated environment.
• Ability to interpret financial results, identify material variances, and communicate recommendations to senior leaders and department heads.
• Proven success working cross-functionally with executives, operational teams, auditors, and board-level committees.
• Bachelor’s degree in Finance, Accounting, or a related field; advanced credentials such as CPA or MBA are preferred.