Vice President, Invoice to Cash

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, cash application, and dispute w