Associate Director Finance Operations

Revenue Cycle Finance Operations Leader

Step into a high-impact role at a growing, PE-backed healthcare company where you'll lead and scale revenue cycle finance operations supporting complex HUB and market access programs.

This role sits at the center of revenue, operations, and client delivery—ensuring accurate revenue recognition, strong financial controls, and scalable processes that support growth. You'll partner closely with Accounting, Operations, Compliance, Legal, and Technology to improve financial performance, reduce risk, and enhance visibility into the business.

You will lead the financial operations of the revenue cycle across HUB services and market access programs, owning billing, revenue recognition, cash flow processes, and financial controls.

This is a build-and-optimize role—you'll strengthen revenue integrity, improve processes, and deliver insights that directly impact financial performance and decision-making.

Key Responsibilities:

• Strengthen revenue cycle controls and ensure accurate, compliant revenue recognition
• Improve billing accuracy, reduce revenue leakage, and enhance cash collection visibility
• Establish scalable, standardized reconciliation processes across revenue cycle components
• Enhance reporting on revenue performance, DSO, and key financial metrics
• Identify and implement process improvements and automation opportunities

What You'll Own:

• Revenue Cycle Leadership
• Lead end-to-end revenue cycle operations (service tracking, billing, invoicing, cash application)
• Ensure accurate and timely revenue recognition aligned with contracts and GAAP (ASC 606)
• Oversee accruals, deferred revenue, and reconciliation of billed vs. earned revenue
• Billing Integrity & Revenue Assurance
• Own billing accuracy and completeness across programs and service lines
• Oversee invoice validation and alignment with contractual terms and service utilization
• Identify and resolve billing discrepancies, denials, and revenue leakage risks
• Reconciliation & Financial Controls
• Lead reconciliations across service activity, billing, cash receipts, and general ledger
• Ensure alignment between operational data and financial reporting
• Standardize and scale reconciliation processes and variance resolution
• Vendor & Contract Financial Management
• Oversee financial interactions with HUB vendors and service providers
• Ensure accurate cost capture and alignment with client billing structures
• Partner on contract interpretation to ensure financial terms are operationalized effectively
• Accounting, Compliance & Audit
• Partner with Accounting on revenue recognition policies and complex arrangements
• Maintain strong internal controls across the revenue cycle
• Support internal and external audit processes
• Reporting & Insights
• Deliver clear, timely reporting on revenue performance, billing trends, and cash collections
• Analyze revenue drivers, utilization, and margins to identify risks and opportunities
• Define and track KPIs to improve revenue cycle performance
• Process Improvement & Scale
• Drive continuous improvement to increase efficiency, accuracy, and cycle speed
• Support automation and system enhancements across billing and cash workflows
• Standardize processes to support growth and complexity
• Leadership
• Lead and develop a high-performing team
• Set clear expectations for accuracy, timeliness, and accountability
• Foster a culture of ownership, continuous improvement, and operational discipline

Education & Certification:

• Bachelor's degree in Accounting, Finance, or related field (required).
• CPA required

Experience & Capabilities:

• 8+ years of progressive experience in finance, accounting, or revenue cycle operations
• Strong experience with revenue cycle processes (billing, invoicing, revenue recognition)
• Experience supporting HUB services, market access programs, or healthcare services preferred
• Deep expertise in reconciliations, accruals, and financial controls
• Strong understanding of GAAP and ASC 606
• Ability to interpret contracts and apply financial terms operationally
• Strong business judgment and problem-solving skills
• Proven ability to operate in a fast-paced, evolving environment
• Strong cross-functional partnership and communication skills
• Analyt…