Vice President - Finance & Controller

About the role

The Vice President of Finance is an integral member of the leadership team, overseeing accounting and financial reporting, treasury management, budgeting and forecasting, audit and tax, and revenue cycle management through both internal and outsourced operations. The ideal candidate has strong technical accounting knowledge, experience managing teams, and a passion for optimizing systems and workflows.

Responsibilities

• Financial Leadership & Execution
  • Act as a strategic and operational partner to the CEO and leadership team.
  • Translate high-level strategy into clear, executable plans for finance, revenue cycle management, and operational teams.
  • Maintain a visible, accessible presence, building trust with team members at all levels.
  • Work closely with the CEO to raise capital and manage relationships with investors and banking partners.
  • Maintain a strong internal control environment to ensure healthcare regulatory, financial, and legal compliance.
• Controller / Accounting Oversight
  • Directly oversee monthly and annual financial reporting, audit, and tax functions.
  • Support the accounting team, including outsourced partners, in the day-to-day execution of accounts payable, accounts receivable, payroll, and cash management.
  • Establish and refine processes while ensuring adoption through direct engagement with team members.
  • Lead by example in maintaining high standards for accuracy, timeliness, and accountability.
• FP&A and Performance Analytics
  • Lead the development and review of budgets, forecasts, and financial models.
  • Develop actionable reporting to improve business efficiency and financial performance.
  • Review performance with operational leaders and coach them on managing financial levers to optimize results.
• Business Development
  • Partner with the executive team to evaluate and develop financial models for acquisitions, joint ventures, partnerships, and new center development opportunities.
  • Support due diligence efforts by:
    • Reviewing target financials and quality of earnings.
    • Identifying revenue cycle risks and operational gaps.
    • Validating assumptions with operational stakeholders.
  • Play an active role in post-acquisition integration, including aligning financial reporting and operational processes.
• Revenue Cycle Management (RCM) Oversight
  • Serve as the primary internal owner of RCM performance, working closely with outsourced vendors and internal staff to optimize revenue and cash collections.
  • Partner directly with center management teams to improve registration accuracy and strengthen point-of-service collections.
  • Support executive leadership in health plan contracting and negotiation efforts.
• Team Leadership & Development
  • Build, mentor, and develop a high-performing finance team.
  • Foster a culture of:
    • Ownership and accountability.
    • Continuous learning.
    • Collaboration across departments.
  • Provide hands-on training and guidance to staff, particularly in:
    • Accounting processes.
    • Financial analysis.
    • Revenue cycle fundamentals.
  • Be approachable and available, serving as a resource and problem-solver.
• Cross-Functional Partnership
  • Work directly with center managers and regional leaders to address site-level financial performance.
  • Participate in operational meetings and occasionally visit clinic locations to understand workflows and financial impact.
  • Collaborate closely with HR, operations, and clinical leadership on labor management and productivity.
  • Support integration efforts for new sites with direct involvement in financial and operational onboarding.

Qualifications

• Bachelor's degree in Accounting or Finance; CPA preferred.
• 10+ years of healthcare services experience required, preferably in ambulatory care.
• Executive presence with experience working with boards and investors.
• Strong knowledge of GAAP.
• Experience working with outsourced business partners and collaborating across functions.
• Strong organizational, presentation, and project management skills.
• Preferred systems experience: Excel, PowerPoint, Sage Intacct, athenaOne, and ADP.
• Ability to work in a hybrid environment, with regional travel as needed.