Vice President of Finance

Position Summary

We are seeking a Vice President of Finance to lead financial operations for a rapidly growing, multi-entity medical practice and research organization across San Diego, Los Angeles, and Arizona.

This role requires a hands-on, technically strong CPA with deep expertise in healthcare revenue cycle management, including billing, collections, payer reconciliation, and multi-site financial performance optimization. The ideal candidate brings a strong command of GAAP, internal controls, and audit readiness, combined with the ability to drive revenue integrity, cash flow predictability, and scalable financial infrastructure in a high-growth environment.

You will partner directly with the CEO and physician leadership to build a best-in-class finance function, with particular focus on optimizing the end-to-end revenue cycle and ensuring financial accuracy, compliance, and scalability across all locations.

This role is exempt (salary) and full-time, working 40 hours per week, Monday through Friday, onsite/hybrid in San Diego, CA.

Key Responsibilities

Financial Leadership & CPA Ownership

• Serve as the lead CPA responsible for financial integrity, ensuring strict adherence to GAAP, tax regulations, and audit standards
• Own the monthly close process, ensuring timely, accurate financial statements across multiple entities
• Design and enforce robust internal controls, audit trails, and accounting policies
• Oversee external audits and manage relationships with auditors, tax advisors, and CPA firms
• Lead technical accounting decisions, including revenue recognition and entity structuring

Revenue Cycle Leadership

• Own the full healthcare revenue cycle, including:
  • Charge capture
  • Coding and billing accuracy
  • Claims submission and denial management
  • Collections and A/R optimization
  • Payer contract performance and reconciliation
• Establish and track core revenue cycle KPIs, such as:
  • Days in A/R
  • Net collection rate
  • Denial rates and recovery rates
  • Payer mix and reimbursement trends
• Partner with operations and clinical teams to identify leakage points and improve yield per visit/provider
• Implement technology-driven automation and reporting tools to streamline billing and collections
• Drive standardization of revenue cycle processes across all locations

Multi-Clinic Financial Oversight

• Ensure consistent revenue recognition and reporting practices across all entities
• Analyze clinic-level profitability with a focus on revenue cycle efficiency and margin optimization
• Identify operational and financial risks tied to billing inefficiencies or payer variability

Compliance, Risk & Controls

• Ensure compliance with healthcare billing regulations (e.g., payer requirements, coding compliance)
• Maintain audit-ready financials and documentation at all times
• Implement fraud prevention, billing compliance checks, and risk mitigation protocols
• Oversee multi-entity tax strategy and regulatory filings

Cash Flow & Working Capital

• Drive improvements in cash flow through optimized collections and reduced A/R cycles
• Forecast cash with revenue cycle visibility and payer timing considerations
• Align capital planning with revenue predictability and reimbursement trends

Qualifications

• Active CPA license
• 7+ years of progressive accounting/finance experience with significant ownership of financial reporting and close processes
• Deep expertise in healthcare revenue cycle management (required)
• Experience in multi-site medical practice or healthcare services environment strongly preferred
• Proven ability to improve collections, reduce A/R days, and optimize payer performance
• Strong knowledge of:
  • GAAP and technical accounting
  • Healthcare billing workflows and compliance
  • Internal controls and audit readiness
• Experience working with practice management systems, billing platforms, and ERP systems

Core Competencies

• CPA-level technical excellence and financial rigor
• Revenue cycle mastery with a data-driven mindset
• Ability to translate revenue cycle data into actionable operational improvements
• Strong partnership with clinical and operational leadership
• High accountability and ability to scale systems in a growth environment

Benefits:

• Performance-based bonus opportunity

• Growth Opportunity: Promotion to CFO from this role is possible.

• Health benefits

• 401k retirement plan with company match

• Paid time off, including vacation, floating holidays, and sick leave

• Equity participation included
• Promotion to CFO and commensurate raises possible

Compensation

The annual salary range for this position is $180,000-200,000/year. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate's skills, education, and experience.