Vice President Finance

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.

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%)

• 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.

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

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

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

• 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%)

• 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).

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

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

• 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.

• 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,…