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. We’re 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, you’ll serve as a strategic business partner to the portfolio company’s CEO and leadership team driving financial performance, operational efficiency, and scalable systems that enable both clinical and business excellence. You’ll 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: you’ll architect the financial infrastructure, roll up your sleeves to execute, and iterate quickly based on data and insights.
What you’ll own
You’ll be responsible for building a world-class finance function that supports the company’s 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 company’s 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 we’re 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: You’re 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 we’re offering
- Base Salary: $200,000 – $250,000 per year, depending on experience and fit.
- Upside: Participation in the company’s 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 Cade’s healthcare portfolio.
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