Vice President, Invoice to Cash

About the role

The Vice President, Invoice to Cash (I2C) is a senior operating executive responsible for leading both the Accounts Receivable, Cash Applications, and Requestor Management teams—a combined department of ~50 staff. The role involves working with a wide range of medical record requestors (insurance companies, attorneys, and their retrieval agents) through a mix of high-touch account management for high-volume requestors and a mass-touch approach for the long tail of low-volume requestors.

This position is hands-on and detail-oriented, requiring deep engagement in daily collections activity, aging trends, customer disputes, and cash forecasting. In a private-equity-backed environment, the leader is expected to operate as a player-coach who can personally diagnose issues, drive execution, and hold teams accountable for results.

Responsibilities

• Own enterprise-wide accounts receivable (AR) performance with direct accountability for DSO reduction and past-due aging.
• Engage directly in weekly aging reviews, top delinquent account analysis, and high-risk customer situations.
• Design and enforce disciplined collections operating rhythms, including daily, weekly, and monthly execution cadences.
• Define, track, and actively manage KPIs including DSO, aging mix, Collection Effectiveness Index (CEI), dispute cycle time, and billing accuracy.
• Lead hands-on improvements across collections, billing accuracy, cash application, and dispute workflows, embedding improvements into daily execution.
• Expand and mature the requestor management/data integrity process and team, including management of sales tax-exempt requestors.
• Partner with the R&D team to design AR/collections modules within the platform.
• Oversee daily cash application activities for all payment channels (ACH, wire transfers, lockbox, credit cards, checks, and electronic payment platforms).
• Ensure timely and accurate posting of customer and requestor payments to accounts receivable.
• Establish and maintain strong internal controls for cash receipt processing.
• Lead implementation and optimization of cash application technologies, including AI-driven tools and robotic process automation (RPA).
• Collaborate as a peer to the Controller, SVP of Finance, and VP of FP&A as a leader in the finance organization.
• Perform other duties as assigned to ensure effective operation of the department and the company.
• Live by and promote company core values.

Requirements

• Bachelor’s degree in Accounting, Finance, or Business (required).
• 12-15+ years of progressive experience in management of Order/Invoice to Cash, Accounts Receivable, Collections, or Finance.
• CPA strongly preferred.
• Proven ability to lead and develop large, multi-functional teams with a data-driven mindset.
• Experience in Release of Information, Revenue Cycle, Record Retrieval, or Healthcare (preferred).
• Technically proficient with data analysis tools such as Advanced Excel, Power BI, SQL, etc.
• Travel 5 to 10% of the time.