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.
What you'll own
You'll be responsible for building a world-class finance function that supports the company's mission, growth, and operational discipline.
Strategic Planning & FP&A
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.Accounting & Controls
Oversee all accounting operations, including monthly and annual close, audit readiness, and financial compliance.Ensure accuracy, timeliness, and transparency across reporting processes.Performance Measurement
Design and maintain executive KPI dashboards and internal reporting infrastructure.Deliver clear financial insights and recommendations that drive decision-making.Cash Flow & Capital Management
Manage banking relationships, credit facilities, cash flow forecasting, and capital allocation.Evaluate investment and financing opportunities to optimize the company's capital structure.Business Partnering
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.Revenue Cycle Management (20%)RCM Leadership
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).Payer Relations & Contracting
Strengthen payer relationships to optimize reimbursement and reduce denials.Negotiate contracts that align incentives and improve cash conversion cycles.Compliance & Optimization
Partner with clinical leaders to ensure compliant, efficient billing processes.Leverage AI and automation tools to streamline workflows, reduce manual work, and increase throughput.What we're looking for
Must-have experience
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.How you work
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, operational, and executive teams to keep everyone aligned.Low ego, high EQ : You balance rigor with empathy, driving results while building trust.What we're offering
Base Salary : $200,000 – $250,000 per year, depending on experience and fit.Upside : Participation in the company's stock option program (meaningful equity aligned with value creation).Comprehensive benefits : Medical, dental, and vision coverage.Retirement plan : 401(k) or equivalent with employer contribution / match.Paid time off : Competitive vacation, sick leave, and holidays.Professional development : Support for courses, certifications, and leadership programs relevant to finance and healthcare.High-impact environment : Direct visibility from your work to patient outcomes, operational performance, and enterprise value creation across Cade's healthcare portfolio.