James E. Manahan II is a senior finance and operations executive with more than 30 years of leadership experience across home health and hospice. He has held multiple C-suite and VP–level roles, including Chief Financial Officer at Granite VNA and senior leadership positions within the University of Vermont Health Network Home Health & Hospice. James specializes in financial strategy, revenue cycle optimization, budgeting, regulatory compliance, and organizational transformation. He has successfully led major capital projects, improved cash flow performance, and helped guide organizations through affiliations, restructures, and system modernization. He holds an MBA from the University of Vermont and remains actively engaged in professional and community leadership.