Vice President of Finance

Vice President of Finance San Diego, CA About Us Modena 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 Arizonaand 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 Summary We 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 Responsibilities Financial Leadership & CPA Ownership Serve as the lead CPA responsible for financial integrity, ensuring strict adherence to GAAP, tax regulations, and audit standards Own the monthly close process, ensuring timely, accurate financial statements across multiple entities Design and enforce robust internal controls, audit trails, and accounting policies Oversee external audits and manage relationships with auditors, tax advisors, and CPA firms Lead technical accounting decisions, including revenue recognition and entity structuring Revenue Cycle Leadership Own the full healthcare revenue cycle, including: Charge capture Coding and billing accuracy Claims submission and denial management Collections and A/R optimization Payer contract performance and reconciliation Establish and track core revenue cycle KPIs, such as: Days in A/R Net collection rate Denial rates and recovery rates Payer mix and reimbursement trends Partner with operations and clinical teams to identify leakage points and improve yield per visit/provider Implement technology-driven automation and reporting tools to streamline billing and collections Drive standardization of revenue cycle processes across all locations Multi-Clinic Financial Oversight Ensure consistent revenue recognition and reporting practices across all entities Analyze clinic-level profitability with a focus on revenue cycle efficiency and margin optimization Identify operational and financial risks tied to billing inefficiencies or payer variability Compliance, Risk & Controls Ensure compliance with healthcare billing regulations (e.g., payer requirements, coding compliance) Maintain audit-ready financials and documentation at all times Implement fraud prevention, billing compliance checks, and risk mitigation protocols Oversee multi-entity tax strategy and regulatory filings Cash Flow & Working Capital Drive improvements in cash flow through optimized collections and reduced A/R cycles Forecast cash with revenue cycle visibility and payer timing considerations Align capital planning with revenue predictability and reimbursement trends Qualifications Active CPA license 7+ years of progressive accounting/finance experience with significant ownership of financial reporting and close processes Deep expertise in healthcare revenue cycle management (required) Experience in multi-site medical practice or healthcare services environment strongly preferred Proven ability to improve collections, reduce A/R days, and optimize payer performance Strong knowledge of: GAAP and technical accounting Healthcare billing workflows and compliance Internal controls and audit readiness Experience working with practice management systems, billing platforms, and ERP systems Core Competencies CPA-level technical excellence and financial rigor Revenue cycle mastery with a data-driven mindset Ability to translate revenue cycle data into actionable operational improvements Strong partnership with clinical and operational leadership High accountability and ability to scale systems in a growth environment Benefits: Performance-based bonus opportunity Growth Opportunity: Promotion to CFO from this role is possible. Health benefits 401k retirement plan with company match Paid time off, including vacation, floating holidays, and sick leave Equity participation included Promotion to CFO and commensurate raises possible Compensation The 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 Requirements Ability 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 Offer Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay Opportunity 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 growth If 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 Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.