Vice President of Finance

Modena Allergy + Asthma • San Diego, CA

4d • $180,000 - $200,000 • Hybrid

About The Position

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.

Requirements

• 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)
• 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

Nice To Haves

• 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

Responsibilities

• 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
• 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
• 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
• 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
• 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

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
• Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
• In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed