Director of Finance – IDD

Baltimore, MD Hybrid

A well-established, multi-state nonprofit organization is seeking a Director of Finance – IDD to oversee financial planning, analysis, budgeting, forecasting, reporting, government funding, and financial performance across its IDD programs and Schools.

Key Responsibilities

• Serve as the primary Finance partner to IDD and School leadership, providing financial analysis and decision support.
• Lead annual budgets, rolling forecasts, and School/state budget submissions.
• Conduct monthly financial reviews covering revenue, labor, operating expenses, margin, census, utilization, and reimbursement.
• Analyze program and location-level profitability and identify underperforming operations, financial risks, and opportunities.
• Monitor government funding, reimbursement structures, contracts, grants, and regulatory changes affecting financial performance.
• Analyze revenue performance, including utilization, reimbursement rates, service volume, billing, collections, denials, and revenue leakage.
• Monitor labor performance, including staffing levels, vacancies, overtime, agency usage, wage rates, and labor costs as a percentage of revenue.
• Incorporate Shared Services costs and allocations into IDD and School budgets and forecasts.
• Develop financial reporting, KPIs, variance analysis, and performance reporting for leadership.
• Develop financial models and business cases for new programs, expansions, contracts, capital investments, restructurings, and other major decisions.
• Support government audits, rate reviews, funding reconciliations, and regulatory financial reviews.
• Partner with Accounting and Revenue Cycle to ensure accurate revenue, financial reporting, and supporting documentation.
• Evaluate program sustainability and provide financial recommendations related to performance, risk, and investment.

Qualifications

• Financial planning and analysis experience in healthcare, human services, IDD, education, or another government-funded environment.
• Experience with budgeting, forecasting, profitability analysis, and variance analysis.
• Knowledge of government funding and reimbursement structures.
• Experience analyzing revenue, labor, utilization, staffing, and other operational financial drivers.
• Strong Excel and financial modeling skills.
• Experience translating financial results into actionable recommendations for operational leadership.

Details