Vice President, Invoice to Cash

The Vice President, Invoice to Cash (I2C) is a senior operating executive responsible for leading both the Accounts Receivable, Cash Applications, and Requestor Management teams. This combined department of ~50 staff are responsible for working with a wide range of medical record requestors (insurance companies, attorneys, and their retrieval agents) with a mix of high touch account management for the high-volume requestors and a long tail mass touch approach for long tail of low volume requestors.

Key metrics and activities that this role will be responsible for include: measuring and tracking Days Sales Outstanding (DSO) by cohort, percent of request volume actively managed, enhancing the monthly billing and statement process, maintaining unapplied cash at a 3-day level, and bringing more automation/technology to this function. This role is intentionally hands-on and detail-oriented, requiring deep engagement in daily collections activity, aging trends, customer disputes, and cash forecasting. In a private-equity-backed environment, this leader is expected to operate as a player-coach who can personally diagnose issues, drive execution, and hold teams accountable for results.

Duties & Responsibilities

• Hands-On Accounts Receivable Leadership & DSO Ownership (Primary Mandate), with Cash Applications and Requestor Management as secondary mandates
• Own enterprise-wide accounts receivable (AR) performance with direct, personal accountability for DSO reduction, and past-due aging
• Engage directly in weekly aging reviews, top delinquent account analysis, and high-risk customer situations
• Design and enforce disciplined collections operating rhythms, including daily, weekly, and monthly execution cadences
• Define, track, and actively manage KPIs including DSO, aging mix, Collection Effectiveness Index (CEI), dispute cycle time, and billing accuracy
• Lead hands-on improvements across collections, billing accuracy,