Director of Finance & Revenue Cycle

Lead Finance. Optimize Revenue. Drive Organizational Performance.

Blue Water Health is seeking an experienced and strategic Director of Finance & Revenue Cycle to serve as the organization's senior financial leader and oversee all aspects of finance, accounting, payroll, benefits administration, financial planning, and revenue integrity.

This is a highly visible leadership role that combines traditional healthcare finance leadership with operational performance improvement and revenue cycle optimization. Reporting directly to executive leadership, the Director will play a critical role in ensuring financial stability, supporting growth initiatives, maximizing reimbursement, and providing the actionable business insights needed to guide organizational decision-making.

The ideal candidate is equally comfortable analyzing financial performance, improving operational workflows, collaborating with physicians and healthcare leaders, and leading teams through change in a dynamic and growing healthcare environment.

Blue Water Health is a physician‑owned healthcare organization providing emergency medicine, hospital medicine, critical care, and specialty physician services throughout New England.

We are committed to delivering exceptional clinical care while maintaining a culture of accountability, innovation, and operational excellence. As we continue to grow, we are investing in financial leadership that can help strengthen our infrastructure, improve performance, and support long‑term organizational success.

The Director of Finance & Revenue Cycle serves as the organization's senior leader for all financial operations and revenue performance activities.

This position is responsible for ensuring:

• Financial operations are accurate, compliant, and efficient.
• Leadership receives timely and actionable financial information.
• Revenue is properly captured, billed, collected, and reported.
• Financial risks are identified and managed.
• Operational leaders are supported with data‑driven decision‑making tools.
• Blue Water Health maintains strong financial performance while supporting continued growth.

The Director partners closely with physician leaders, operations teams, external auditors, banking partners, benefits providers, revenue cycle vendors, and partner healthcare facilities to ensure organizational success.

• Serve as the organization's senior financial leader and trusted advisor to executive leadership.
• Lead financial strategy, planning, forecasting, and organizational performance improvement initiatives.
• Provide financial analysis and recommendations to support growth opportunities, new service lines, and operational decision‑making.
• Develop and monitor key organizational performance indicators.

• Oversee all accounting operations, financial reporting, and general ledger activities.
• Lead monthly, quarterly, and annual close processes.
• Prepare and analyze financial statements, budgets, forecasts, and cash flow projections.
• Ensure strong internal controls, regulatory compliance, and audit readiness.
• Manage relationships with external auditors, tax advisors, and banking partners.
• Maintain multi‑entity financial reporting and organizational accounting integrity.

Serve as Blue Water Health's operational leader for revenue integrity and revenue cycle performance. This is done in collaboration with our outsourced Revenue Cycle Vendor.

Responsibilities include:

• Overseeing revenue cycle performance from registration through final payment collection.
• Monitoring revenue capture, coding accuracy, documentation integrity, denials, and reimbursement performance.
• Identifying and…