Senior Financial Analyst- Long Term Care

Job Description

Job Description

Looking for a finance partner who understands census, acuity, staffing, and agency. Healthcare finance hits different in long-term care, and we’re hiring the analyst who knows why (and how to fix it).

Position Summary

The Healthcare Finance Analyst will serve as a strategic finance partner to nursing home leadership, supporting budgeting, forecasting, and financial performance management across long-term care facilities. This role requires hands-on experience working with Skilled Nursing Facilities (SNFs) and long-term care operations to understand the real-world drivers of budget performance, including labor, census, acuity, case mix, agency utilization, supplies, therapy, and regulatory requirements.

This position plays a key role in translating operational realities into accurate financial planning, identifying trends and risks, and supporting leadership with actionable insights to improve financial sustainability while maintaining quality of care.

Key Responsibilities

• Lead the development and ongoing management of facility-level budgets for nursing homes/SNFs.

• Partner with Administrators, DONs, RDOs, and corporate leadership to align operational plans with financial targets.

• Build and maintain rolling forecasts based on census, case mix, acuity, payer mix, labor models, and regulatory impacts.

• Analyze budget vs. actual variances and provide clear, actionable explanations to operations leaders.

• Analyze key drivers impacting long-term care budgets, including:

  • Labor (PPD, overtime, agency usage, contract labor)

  • Census, admissions, discharges, and payer mix

  • Case mix index and acuity trends

  • Therapy utilization

  • Supplies, pharmacy, and ancillary services

• Identify financial risks, cost drivers, and opportunities for improvement while maintaining regulatory compliance and quality of care.

• Support labor modeling and staffing optimization in collaboration with HR and clinical leadership.

• Prepare financial reports and dashboards for executives and regional/facility leadership.

• Translate complex financial data into practical insights that operations leaders can act on.

• Support strategic initiatives, acquisitions, and financial modeling for new facilities or service lines.

• Provide ad-hoc analysis to support operational decision-making and performance improvement initiatives.

• Collaborate closely with Operations, Clinical, HR, Payroll, and Revenue Cycle teams to ensure financial planning reflects real operational conditions.

• Support leadership with scenario planning related to census changes, regulatory shifts, staffing challenges, and reimbursement changes.

   

• Bachelor’s degree in Finance, Accounting, Economics, Healthcare Administration, or related field.

• 3- 5+ years of financial analysis experience in long-term care, skilled nursing facilities, or post-acute healthcare.

• Demonstrated experience building and managing budgets for nursing homes/SNFs.

• Strong understanding of operational drivers in long-term care (labor, census, acuity, payer mix, regulatory impact).

• Advanced Excel skills (budget models, forecasting, variance analysis).

• Ability to communicate financial insights clearly to non-finance operational leaders.

   

• Experience supporting multi-facility SNF portfolios.

• Familiarity with reimbursement models, case mix, and healthcare finance metrics.

• Experience with labor modeling, payroll data, and workforce cost analysis.

• Experience with BI tools or financial dashboards.