Vice President of Finance

Modena Allergy + Asthma • San Diego, CA

3d • $180,000 - $200,000 • Hybrid

About The Position

Modena Health (“MH”) and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine. Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers. At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others. 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)
• 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

Nice To Haves

• Experience in multi-site medical practice or healthcare services environment strongly preferred

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

• 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
• Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
• A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth

What This Job Offers

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