Vice President of Finance

About UsModena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona-and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.Position SummaryWe are seeking a Vice President of Finance to lead financial operations for a rapidly growing, multi-entity medical practice and research organization across San Diego, Los Angeles, and Arizona.This role requires a hands-on, technically strong CPA with deep expertise in healthcare revenue cycle management, including billing, collections, payer reconciliation, and multi-site financial performance optimization. The ideal candidate brings a strong command of GAAP, internal controls, and audit readiness, combined with the ability to drive revenue integrity, cash flow predictability, and scalable financial infrastructure in a high-growth environment.You will partner directly with the CEO and physician leadership to build a best-in-class finance function, with particular focus on optimizing the end-to-end revenue cycle and ensuring financial accuracy, compliance, and scalability across all locations.This role is exempt (salary) and full-time, working 40 hours per week, Monday through Friday, onsite/hybrid in San Diego, CA.Key ResponsibilitiesFinancial Leadership & CPA OwnershipServe as the lead CPA responsible for financial integrity, ensuring strict adherence to GAAP, tax regulations, and audit standardsOwn the monthly close process, ensuring timely, accurate financial statements across multiple entitiesDesign and enforce robust internal controls, audit trails, and accounting policiesOversee external audits and manage relationships with auditors, tax advisors, and CPA firmsLead technical accounting decisions, including revenue recognition and entity structuringRevenue Cycle LeadershipOwn the full healthcare revenue cycle, including:Charge captureCoding and billing accuracyClaims submission and denial managementCollections and A/R optimizationPayer contract performance and reconciliationEstablish and track core revenue cycle KPIs, such as:Days in A/RNet collection rateDenial rates and recovery ratesPayer mix and reimbursement trendsPartner with operations and clinical teams to identify leakage points and improve yield per visit/providerImplement technology-driven automation and reporting tools to streamline billing and collectionsDrive standardization of revenue cycle processes across all locationsMulti-Clinic Financial OversightEnsure consistent revenue recognition and reporting practices across all entitiesAnalyze clinic-level profitability with a focus on revenue cycle efficiency and margin optimizationIdentify operational and financial risks tied to billing inefficiencies or payer variabilityCompliance, Risk & ControlsEnsure compliance with healthcare billing regulations (e.g., payer requirements, coding compliance)Maintain audit-ready financials and documentation at all timesImplement fraud prevention, billing compliance checks, and risk mitigation protocolsOversee multi-entity tax strategy and regulatory filingsCash Flow & Working CapitalDrive improvements in cash flow through optimized collections and reduced A/R cyclesForecast cash with revenue cycle visibility and payer timing considerationsAlign capital planning with revenue predictability and reimbursement trendsQualificationsActive CPA license7+ years of progressive accounting/finance experience with significant ownership of financial reporting and close processesDeep expertise in healthcare revenue cycle management (required)Experience in multi-site medical practice or healthcare services environment strongly preferredProven ability to improve collections, reduce A/R days, and optimize payer performanceStrong knowledge of:GAAP and technical accountingHealthcare billing workflows and complianceInternal controls and audit readinessExperience working with practice management systems, billing platforms, and ERP systemsCore CompetenciesCPA-level technical excellence and financial rigorRevenue cycle mastery with a data-driven mindsetAbility to translate revenue cycle data into actionable operational improvementsStrong partnership with clinical and operational leadershipHigh accountability and ability to scale systems in a growth environmentBenefits:Performance-based bonus opportunityGrowth Opportunity: Promotion to CFO from this role is possible.Health benefits401k retirement plan with company matchPaid time off, including vacation, floating holidays, and sick leaveEquity participation includedPromotion to CFO and commensurate raises possibleCompensationThe annual salary range for this position is $180,000-200,000/year. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate's skills, education, and experience.Physical RequirementsAbility to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable.What We OfferCompetitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunitiesIn addition, we offer paid time Off (PTO), sick time, floating holiday and holiday payOpportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growthIf this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you're passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!California Consumer Privacy Act (CCPA) Notice