REGIONAL VICE PRESIDENT OF FINANCE

PSN Services LLC•Plano, TX

2d•Remote

About The Position

The Regional Vice President of Finance serves as the senior financial leader for Legent Health’s North Region, encompassing a portfolio of surgical hospitals and ambulatory surgery centers across Texas and Florida. This is an individual contributor role with enterprise-wide strategic impact, reporting dually to the Enterprise CFO and the North Regional Vice President of Operations. The Regional VP of Finance will function as a true financial business partner to regional operations leadership, driving financial performance, ensuring reporting integrity, supporting the private equity value creation thesis, and serving as a key liaison between facility-level operations and enterprise finance. The ideal candidate brings deep healthcare financial acumen, comfort operating within a PE-backed environment, and the ability to influence outcomes without direct line authority.

Requirements

10+ years of progressive finance and accounting experience, with at least 5 years in healthcare services (ASCs, surgical hospitals, or multi-site healthcare platforms).
Demonstrated experience operating within a private equity-backed or sponsor-backed healthcare environment, including familiarity with PE reporting cadences, value creation frameworks, and board-level financial communication.
Deep understanding of ASC and surgical hospital financial models, including physician joint venture structures, case-level economics, and payer dynamics.
Strong command of revenue cycle management metrics, reimbursement methodologies, and healthcare-specific accounting standards.
Proven ability to influence cross-functional stakeholders and drive outcomes in a matrixed organization without direct line authority.
Advanced proficiency in financial planning systems, ERP platforms (Sage Intacct preferred), business intelligence tools (Power BI preferred), and Excel-based financial modeling.

Nice To Haves

Bachelor’s degree in finance, Accounting, or related field; MBA or CPA strongly preferred.
CPA designation or CFA credential
Prior experience as a facility or regional financial leader within a multi-site surgical or ASC platform.
Experience supporting M&A transactions, integration planning, and post-acquisition financial operations.
Familiarity with HST Pathways, CPSI, CPSI, or similar surgical facility management systems.
Track record of compressing month-end close timelines and implementing financial process improvements.
Experience building, cleaning up, and optimizing Power BI dashboards and reporting environments to deliver accurate, real-time financial and operational insights.

Responsibilities

Own the regional P&L and serve as the financial steward for all facilities in the North Region, driving accountability for revenue, EBITDA, and cash flow targets aligned to the General Atlantic value creation plan.
Develop and maintain rolling forecasts, annual budgets, and long-range financial plans for each facility and the region in aggregate.
Identify and quantify margin improvement opportunities across case mix optimization, supply chain, labor productivity, and payer contracting.
Monitor and analyze key performance indicators (KPIs) including case volume, revenue per case, cost per case, net revenue realization, DSO, and EBITDA margin by facility and service line.
Support due diligence and financial integration for regional acquisition targets, including pro forma modeling and synergy identification.
Drive the monthly, quarterly, and annual financial close process for the North Region, with a target close cycle of 5–10 business days.
Prepare and deliver comprehensive monthly financial packages to the Enterprise CFO, regional leadership, and General Atlantic, including variance analysis, bridge commentary, and forward-looking insights.
Ensure accuracy and integrity of all financial reporting, including revenue recognition, physician and facility settlements, and intercompany allocations.
Collaborate with enterprise accounting to resolve complex accounting matters including net working capital true-ups, purchase accounting, and ASC 606 compliance.
Partner with revenue cycle management (RCM) leadership to monitor and improve collection performance, denial management, and payer reimbursement rates across the region.
Track and drive improvement in DSO targets (30–35 days), AR aging, and cash conversion cycle.
Oversee regional accounts payable processes, vendor management, and working capital optimization.
Identify revenue integrity risks and implement controls to prevent revenue leakage.
Serve as a trusted financial advisor to the North Regional VP of Operations, facility administrators, and physician partners.
Participate in regional operations meetings, board meetings, and physician joint venture governance with data-driven financial perspectives.
Translate complex financial information into actionable insights for non-financial stakeholders.
Support operational leaders in evaluating capital expenditure requests, new service line business cases, and physician recruitment ROI.
Ensure adherence to internal financial controls, SOX-equivalent processes, and PE reporting standards across all regional facilities.
Support enterprise initiatives to optimize financial systems (Sage Intacct, HST Pathways, CPSI) and drive automation of manual processes.
Identify and implement best-class digitization platforms and technology solutions to drive increased efficiency, operational synergies, and shareholder value across the regional portfolio.
Participate in external audit support and regulatory compliance as required.