Vice President of Finance - Personal Caregiving

Vice President of Finance - Personal Caregiving

Remote (Missouri, United States)

AbriCare is positioned to become a next-generation leader in one of the largest, fastest-growing, and most fundamentally broken sectors in U.S. healthcare: access to Personal Care Services (PCS) to enable independent living at home. The company exists to solve a structural workforce crisis that is driving unmet demand, avoidable nursing home placement, and deteriorating outcomes for millions of frail seniors and adults with disabilities. The market is vast, fragmented, and accelerating a $75B+ addressable market growing 8–10% annually, with demographic inevitability as the driver (exploding 80+ population, shrinking family caregiver base). States aggressively rebasing toward Home and Community Based Services (HCBS) due to cost pressures, outcomes data, and member preference — materially advantages PCS as the lowest-cost, highest-impact LTSS modality. Medicaid-funded Personal Care Services (PCS) represents the largest covered patient base that AbriCare will proudly serve, with an opportunity to deliver PCS offerings to VA and private-pay members as well.

AbriCare's model is straightforward and powerful: fix the caregiver experience, modernize operations with technology-enabled infrastructure, and activate the home as the new front line of care coordination. AbriCare exists to:

1. Enable vulnerable seniors and adults with disabilities to remain independent at home, avoiding high-cost
2. Elevate the caregiver workforce, a historically undervalued labor pool that experiences >60% annual turnover sector-wide.
3. Deliver material value for Medicaid and managed care organizations through reliable fulfillment, consistent documentation, rising-risk detection, and improved outcomes.

This is an opportunity to join the leadership team of a company that directly affects the highest-risk, highest-cost members in Medicaid and Medicare — the 6–10% of beneficiaries who account for ~35%+ of spend.

The Vice President of Finance will serve as AbriCare's financial leader, responsible for building and scaling the financial infrastructure needed to support rapid growth. This role is both strategic and hands-on — owning budgeting, forecasting, reporting, and financial operations while partnering closely with executive leadership to ensure AbriCare remains financially strong, compliant, and positioned for long-term success.

This is a critical role for someone who can operate in a fast-moving, mission-driven healthcare environment, balancing disciplined financial management with the agility required in a scaling organization.

Build Financial Strategy & Leadership

• Serve as a key strategic partner to the CEO and leadership team on financial planning and decision-making.
• Develop long-term financial models that support growth, expansion, and operational scalability.
• Provide clear insights into performance drivers, margins, and opportunities for efficiency.

Oversee Budgeting, Forecasting & Reporting

• Lead the annual budgeting process and ongoing forecasting cycles.
• Build and maintain reporting dashboards that track KPIs, cash flow, and profitability.
• Deliver accurate, timely financial reporting for leadership and board-level discussions.

Strengthen Financial Operations

• Oversee accounting processes, month-end close, and financial controls.
• Ensure systems and workflows are scalable, efficient, and audit-ready.
• Partner with operations teams to improve cost management and resource allocation.

Ensure Compliance & Risk Management

• Maintain compliance with healthcare-related financial regulations, Medicaid reimbursement requirements, and state/federal standards.
• Support audits, payer reviews, and financial risk assessments.
• Establish strong internal controls and governance practices.

Support Growth & Investment Readiness

• Prepare AbriCare for future fundraising, debt financing, or strategic partnerships.
• Collaborate on investor reporting, financial diligence, and strategic transactions.
• Build the financial foundation needed for expansion into new markets and service lines.

Required Qualifications

• Minimum 8+ years of progressive experience in finance, accounting, or related roles.
• Proven leadership experience managing budgeting, forecasting, and financial operations.
• Strong understanding of financial controls, reporting, and performance management.
• Experience in healthcare services, home care, Medicaid-funded programs, or other regulated industries strongly preferred.
• Bachelor's degree in Finance, Accounting, Economics, or related field required.
• Ability to operate both strategically and tactically in a high-growth environment.

Preferred Qualifications

• 8+ years of experience with significant leadership responsibility.
• CPA, MBA, or other advanced finance credential preferred.
• Experience scaling finance functions in a start-up or growth-stage organization.
• Familiarity with healthcare reimbursement models, including Medicaid PCS.
• Prior experience supporting fundraising, board reporting, or M&A activity.

Core Competencies

• Financial Leadership: Able to guide organizational strategy through strong financial insight and discipline.
• Operational Excellence: Builds scalable systems, processes, and controls that support growth.
• Healthcare Finance Acumen: Understands the complexity of Medicaid and regulated care environments.
• Strategic Partnership: Trusted advisor to leadership, translating numbers into actionable decisions.
• Adaptability: Thrives in a fast-changing, start-up setting where priorities evolve quickly.
• Mission Alignment: Motivated by AbriCare's commitment to helping seniors and adults with disabilities live safely and independently at home.