Associate Director Finance Operations

Mercalis

$120K — $150K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Accounting, Finance, or related field
  • CPA required
  • 8+ years of progressive experience in finance, accounting, or revenue cycle operations
  • Strong experience with revenue cycle processes (billing, invoicing, revenue recognition)
  • Deep expertise in reconciliations, accruals, and financial controls
  • Strong understanding of GAAP and ASC 606

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
  • Deliver clear, timely reporting on revenue performance and billing trends
  • Drive continuous improvement to increase efficiency, accuracy, and cycle speed
  • Lead and develop a high-performing team

Benefits

  • Flexible working environment
  • Opportunities for professional development
  • Supportive team culture focused on continuous improvement
  • Performance-driven growth potential
Full Job Description
Why This Role Matters:

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.

Role Overview:

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.

Responsibilities

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


Qualifications

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
  • Analytical mindset with the ability to turn data into actionable insights
  • Experience with ERP and financial systems


Physical Demands & Work Environment
  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
  • Although very minimal, flexibility to travel as needed is preferred.
  • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.

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