Deputy Director of Finance

Livingston County Center for Nursing and Rehabilitation
Deputy Director of Finance
Salary: $115,000-125,000
Benefits: Comprehensive benefits package
Location: Mount Morris, N.Y.
Reports To: Director of Long-Term Care
Application Deadline: 12/8/2025 for first review of resumes

The Ideal Candidate
The Deputy Director of Finance at the Livingston County Center for Nursing and Rehabilitation will be a strategic financial leader with a deep understanding of the healthcare landscape, particularly the complexities of long-term care. This individual will combine strong fiscal acumen with a passion for advancing quality care through sound financial stewardship.

The Livingston County CNR seeks a finance professional with demonstrated success managing all aspects of financial operations in a skilled nursing or healthcare setting. The ideal candidate will bring extensive experience in accounting, budgeting, forecasting, and audit coordination, along with an in-depth knowledge of Medicaid and Medicare reimbursement systems. Familiarity with New York State’s Medicaid rate methodologies, cost reporting, and Department of Health compliance requirements is essential. Experience with state and federal cost reports, including RHCF-4 and CMS-2540-10 filings, will be critical to success in this role.

This leader will excel at developing and monitoring operating budgets, managing cash flow, and ensuring timely, accurate financial reporting. They will maintain strong internal controls, promote audit readiness, and communicate financial information clearly to leadership, boards, committees, and regulators. The ability to connect financial performance to operational outcomes with clarity and collaboration will be a defining strength.

An effective team builder, the Deputy Director of Finance will lead accounting and billing staff with integrity, mentorship, and accountability. They will bring a continuous improvement mindset, identifying opportunities to streamline processes and enhance efficiency. Proficiency with healthcare accounting systems and advanced Excel and analytical skills will support data-driven decision-making.

A Bachelor’s degree in accounting, finance, or business administration is required; a C.P.A. or M.B.A. is preferred. The ideal candidate will have at least five to seven years of progressive healthcare finance experience, including several years within a large-scale nursing home or long-term care environment.

Above all, the Deputy Director of Finance will embody professionalism, transparency, and a commitment to mission-driven care. This is an opportunity for a values-based leader to play a pivotal role in maintaining the region’s largest publicly owned long-term care facility’s financial health while supporting compassionate, high-quality services for the residents.

How to Apply
For additional information and to apply, visit the Pracademic Partners job portal at https://www.pracademicpartners.com/current-recruitments.

To express interest, please submit a cover letter, resume, and list of three (3) professional references through the portal. Employment is contingent upon the completion of a successful background check. This position is considered open until a final selection is made. Candidates are strongly encouraged to apply by 12/8/25.

Pracademic Partners is assisting Livingston County with this executive search.

For inquiries or nominations, please contact:
Ian M. Coyle, ICMA-CM
585.943.0589

Livingston County is an Equal Opportunity Employer and encourages candidates from diverse backgrounds to apply.