Vice President of Finance

Vice President of Finance

Location:

Brunswick, Maine (Hybrid option)

Reports To:

Chief Operating Officer
Level: Senior Leadership Team
About Blue Water Health
Blue Water Health is a growing, physician-owned acute care medicine group operating across multiple states in New England. We are entrepreneurial, performance-driven, and committed to building a high-accountability culture that aligns clinical excellence with financial discipline.
BWH offers competitive salaries and an outstanding benefits package including employer paid health insurance, STD, LTD, Life, Dental/Vision, a robust retirement plan, and generous paid time off.

Position Overview
Blue Water Health is seeking a Vice President of Finance to lead enterprise financial operations and serve as a key strategic partner to executive leadership.
This role goes beyond traditional finance leadership, bringing together accounting, payroll, benefits, financial planning, and revenue integrity into a unified, high-performing system.
The VP of Finance is responsible for ensuring that:
Financial operations are accurate, compliant, and efficient
Leadership has clear, actionable financial insight
All revenue is optimized, correct, complete, and fully realized
This is a high-impact leader who will support bridging finance, clinical operations, and revenue cycle management. The ideal candidate will use agentic AI to maximize efficiency and multiply human capital.

Key Responsibilities
Financial Operations & Accounting
Lead all aspects of financial management, including:
General ledger, close processes, and multi-entity accounting
Financial statements (P&L, balance sheet, cash flow)
Treasury management
Ensure strong internal controls, compliance, and audit readiness
Oversee external relationships (auditors, tax advisors, banking partners)
Payroll & Benefits Leadership
Provide executive oversight of payroll across physicians, APPs, and staff
Ensure accurate and compliant compensation structures, including productivity-based models
Continuously track payroll trends to ensure integrity of complex payroll structure
Oversee and optimize employee benefits programs (health, retirement, disability, etc.)
Partner with leadership to align compensation and benefits with organizational strategy
Financial Planning & Analysis
Accountable for the completion and/or oversight of budgeting, forecasting, and long-term financial planning
Deliver clear variance analysis and forward-looking insights
Support strategic decision-making through modeling and performance analysis
Operational & Contract Performance
Oversee financial performance across sites and contracts
Identify trends in revenue, staffing costs, and margins
Support leadership in evaluating growth opportunities and contract sustainability
Revenue Integrity
This role serves as executive sponsor of Revenue Integrity, ensuring that all revenue is:
Accurate reflects clinical work performed
Complete minimizes revenue leakage
Compliant aligns with payer and regulatory requirements
Key focus areas:
Oversight of charge capture, coding alignment, and documentation integrity
Full cycle: registration through collections
Partnership with partner facilities, clinical leadership, and revenue cycle vendor(s)
Establishment of KPI-driven visibility into denials, leakage, and payer performance
Accountability and oversight of CNR (Charts Not Received) and RAI (Request for Additional Information)
Lead Blue Water Health resource for IT downtime/disaster recovery as it relates to revenue cycle activities, including boots on the ground mitigation at partner sites when appropriate.
Leadership & Strategy
Serve as a strategic advisor to the COO and Senior Leadership Team
Partner with Chief Medical Officer in exploration, development, and/or implementation of value-based reimbursement opportunities
Contribute to organizational planning, growth strategy, and performance improvement
Build and lead a high-performing finance function
Promote a culture of accountability, transparency, and data-driven decision-making
Qualifications
Bachelor's degree in Accounting, Finance, or related field (CPA strongly preferred)
10+ years of progressive finance leadership experience
Healthcare or physician group experience strongly preferred