Vice President of Finance and Accounting

Responsibilities

• Provide strategic financial leadership and guidance to the executive management team.
• Develop and manage the annual operating and capital budgets.
• Oversee financial forecasting, cash flow management, and long-range planning.
• Coordinate the preparation of annual budgets across departments.
• Lead the creation of quarterly and multi-year projections based on spending trends and operational needs.
• Analyze financial performance and offer recommendations to enhance profitability and efficiency.
• Design financial models to anticipate contingencies and support planning.
• Collaborate with the VP Strategic Development to understand projected revenue.
• Prepare and present financial reports, dashboards, and analyses to senior leadership.
• Develop and maintain strong internal controls and financial policies.
• Foster relationships with financial institutions providing operational banking services.
• Ensure accounting and financial reporting comply with regulatory and third-party requirements.
• Oversee all accounting functions, including GL, AP, AR, payroll approvals, fixed assets, and reporting.
• Ensure timely monthly, quarterly, and annual closes and financial statements.
• Coordinate annual audits and serve as primary liaison with external auditors, tax advisors, and financial institutions.
• Maintain compliance with GAAP, federal and state regulations, and organizational policies.
• Monitor and improve accounting systems, workflows, and procedures.
• Direct billing operations to ensure timely and accurate invoicing, collections, and postings.
• Monitor accounts receivable aging and implement strategies to improve collections.
• Ensure payer and contractual compliance and regulate billing processes with operational leaders.
• Oversee reimbursement and cost reporting in line with applicable regulations.
• Track regulatory developments affecting tax and reimbursement and respond accordingly.
• Oversee purchasing and procurement to secure cost-effective acquisitions.
• Maintain vendor relationships and contract oversight, and monitor inventory purchasing trends for cost savings.
• Manage contracts for lab reagents, hardware, and software services, ensuring policy-compliant purchasing.
• Lead, mentor, and develop Finance, Billing, and Purchasing teams; set goals and accountability.
• Foster collaboration and continuous process improvement across departments.

Requirements

• Master’s degree in accounting, finance, business administration, or a related field (required).
• CPA or equivalent advanced financial certification; minimum 5 years of certification experience (required).
• At least 7 years of experience in finance and accounting; healthcare or laboratory sector experience is a plus.
• Proficiency with Sage 100 preferred.
• Experience with third-party insurance/client billing is a plus.
• Advanced knowledge of Microsoft Excel and other Office applications.
• Strong expertise in financial reporting, budgeting, internal controls, and regulatory compliance.
• Excellent leadership, communication, analytical, interpersonal, and organizational skills.

Technologies

• Sage 100
• Microsoft Excel

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Experience

• CPA: 5 years (Required)
• Finance and accounting: 7 years (Required)

License/Certification

• CPA (Required)

Work Location

In person

Environmental/Working Conditions

This position operates primarily in a professional office environment and may require occasional extended hours during budgeting, audits, or special projects. Work is conducted in well-lit and ventilated areas, with a slight potential for exposure to infectious materials and chemicals.