Vice President, Invoice to Cash

Overview

The organization is seeking a Vice President, Invoice to Cash (I2C), a senior operating executive responsible for leading the Accounts Receivable, Cash Applications, and Requestor Management teams. This combined department (~50 staff) partners with a broad set of medical record requestors, including insurance companies, attorneys, and their retrieval agents. The role blends high-touch account management for high-volume requestors with a long-tail, mass-touch approach for low-volume requestors.

This role is hands-on and detail-oriented, with direct ownership of daily collections activity, aging trends, customer disputes, and cash forecasting.

Responsibilities

• Lead hands-on Accounts Receivable with DSO ownership as the primary mandate; support Cash Applications and Requestor Management as secondary mandates
• Own enterprise-wide accounts receivable performance, including direct accountability for DSO reduction and past-due aging
• Participate directly in weekly aging reviews, including top delinquent account analysis and high-risk customer situations
• Define and enforce disciplined collections operating rhythms with daily, weekly, and monthly execution cadences
• Define, track, and manage KPIs including:
  • Days Sales Outstanding (DSO)
  • Aging mix
  • Collection Effectiveness Index (CEI)
  • Dispute cycle time
  • Billing accuracy
• Drive hands-on improvements across collections, billing accuracy, cash application, and dispute workflows; ensure changes are embedded into daily execution
• Expand and mature the requestor management and data integrity process, including management of sales tax-exempt requestors
• Partner with the R&D team to design AR/collections modules within the platform
• Oversee daily cash application activities across all payment channels, including ACH, wire transfers, lockbox, credit cards, checks, and electronic payment platforms
• Ensure timely and accurate posting of customer and requestor payments to accounts receivable
• Establish and maintain internal controls for cash receipt processing
• Lead implementation and optimization of cash application technologies, including AI-driven cash application tools and/or robotic process automation (RPA)
• Collaborate as a peer with the Controller, SVP of Finance, and VP of FP&A within the finance organization
• Perform other duties as assigned to ensure effective operation of the department

Minimum Qualifications

• Bachelor’s degree in Accounting, Finance, or Business (required)
• 12–15+ years of progressive experience in Management of Order/Invoice to Cash, Accounts Receivable, Collections, or Finance
• CPA strongly preferred
• Proven ability to lead and develop large, multi-functional teams with a data-driven mindset
• Experience in Release of Information, Revenue Cycle, Record Retrieval, or Healthcare (preferred)
• Technical proficiency with data analysis tools such as Advanced Excel, Power BI, SQL, etc.
• Ability to travel 5–10% of the time

Compensation & Benefits

• Compensation and benefits not specified in the provided job description.

Location

• Location not specified in the provided job description.