Job Description

Our company is building the next generation of specialty spine, neck and brain care, making it radically easier for patients, employers, providers, and payors to access high-quality, efficient care. The practice is undergoing an exciting period of growth and innovation. Were looking for a hands-on VP of Finance to own our finance and revenue cycle functions end-to-end and help scale our organization through its next phase of growth.

As our VP of Finance, youll serve as a strategic business partner to the portfolio companys CEO and leadership team driving financial performance, operational efficiency, and scalable systems that enable both clinical and business excellence. Youll lead a growing team and be responsible for corporate finance, FP&A, accounting, and revenue cycle management across the enterprise.

This is a builder role: youll architect the financial infrastructure, roll up your sleeves to execute, and iterate quickly based on data and insights.

What youll own

Youll be responsible for building a world-class finance function that supports the companys mission, growth, and operational discipline.

1. Corporate Finance (80%)

Strategic Planning & FP&A

• Lead all financial planning, budgeting, forecasting, and strategic modeling to support growth and new initiatives.
• Partner with the CEO and leadership team to translate strategic objectives into actionable financial plans.

Accounting & Controls

• Oversee all accounting operations, including monthly and annual close, audit readiness, and financial compliance.
• Ensure accuracy, timeliness, and transparency across reporting processes.

Performance Measurement

• Design and maintain executive KPI dashboards and internal reporting infrastructure.
• Deliver clear financial insights and recommendations that drive decision-making.

Cash Flow & Capital Management

• Manage banking relationships, credit facilities, cash flow forecasting, and capital allocation.
• Evaluate investment and financing opportunities to optimize the companys capital structure.

Business Partnering

• Provide strategic financial guidance on new service lines, M&A opportunities, and technology investments.
• Support operational teams with data-driven insights to improve margins, productivity, and ROI.

2. Revenue Cycle Management (20%)

RCM Leadership

• Oversee end-to-end revenue cycle operations, including documentation, coding, charge capture, and payer contracting.
• Implement performance dashboards to monitor key RCM metrics (AR days, denial rates, collection efficiency).

Payer Relations & Contracting

• Strengthen payer relationships to optimize reimbursement and reduce denials.
• Negotiate contracts that align incentives and improve cash conversion cycles.

Compliance & Optimization

• Partner with clinical leaders to ensure compliant, efficient billing processes.
• Leverage AI and automation tools to streamline workflows, reduce manual work, and increase throughput.

What were looking for

Must-have experience

• 5+ years in a finance leadership role within a small or high-growth organization; healthcare experience strongly preferred.
• Proven track record of leading FP&A, accounting, and revenue cycle functions with full ownership of financial results.
• Deep understanding of GAAP accounting, healthcare billing, and RCM operations.
• Strong analytical and technical orientation, comfortable using automation, data analytics, and AI-driven tools.
• Exceptional communicator able to translate financial data into actionable strategy for executives, clinicians, and investors.
• Demonstrated ability to build scalable financial systems and deliver measurable impact.
• Proven people leader with experience managing and developing cross-functional finance teams.
• Academic excellence GPA 3.7+ from a top-tier university or equivalent achievement.

How you work

• Hands-on: Youre comfortable digging into models, reconciling accounts, and refining reports, whatever it takes to get to truth and clarity.
• Owner mentality: You think in terms of enterprise value and long-term impact, not just monthly results.
• Analytical & curious: You love finding insights in numbers and building the systems that make them visible.
• Collaborative: You communicate clearly across clinical, operational, and executive teams to keep everyone aligned.
• Low ego, high EQ: You balance rigor with empathy, driving results while building trust.

What were offering

• Base Salary: $200,000 $250,000 per year, depending on experience and fit.
• Upside: Participation in the companys stock option program (meaningful equity aligned with value creation).
• Comprehensive benefits: Medical, dental, and vision coverage.
• Retirement plan: 401(k) or equivalent with employer contribution/match.
• Paid time off: Competitive vacation, sick leave, and holidays.
• Professional development: Support for courses, certifications, and leadership programs relevant to finance and healthcare.
• High-impact environment: Direct visibility from your work to patient outcomes, operational performance, and enterprise value creation across Cades healthcare portfolio.

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