Vice President of Finance

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    "description": "<p><span style=\"font-weight: bold\">Job Title: </span>Vice President of Finance</p>\n<p><span style=\"font-weight: bold\">Location: </span>Brunswick, Maine (Hybrid option)</p>\n<p><span style=\"font-weight: bold\">Reports To:</span> Chief Operating Officer<br><span style=\"font-weight: bold\">Level:</span> Senior Leadership Team</p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">About BlueWater Health</span></p>\n<p>BlueWater Health is a growing, physician-owned acute care medicine group operating across multiple states in New England. We are entrepreneurial, performance-driven, and committed to building a high-accountability culture that aligns clinical excellence with financial discipline.</p>\n<p> </p>\n<p>BWH offers competitive salaries and an outstanding benefits package including employer paid health insurance, STD, LTD, Life, Dental/Vision, a robust retirement plan, and generous paid time off.</p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Position Overview</span></p>\n<p>BlueWater Health is seeking a Vice President of Finance to lead enterprise financial operations and serve as a key strategic partner to executive leadership.</p>\n<p>This role goes beyond traditional finance leadership, bringing together accounting, payroll, benefits, financial planning, and revenue integrity into a unified, high-performing system.</p>\n<p> </p>\n<p>The VP of Finance is responsible for ensuring that:</p>\n<ul>\n<li>Financial operations are accurate, compliant, and efficient</li>\n<li>Leadership has clear, actionable financial insight</li>\n<li>All revenue is optimized, correct, complete, and fully realized</li>\n</ul>\n<p> </p>\n<p>This is a high-impact leader who will support bridging finance, clinical operations, and revenue cycle management.  The ideal candidate will use agentic AI to maximize efficiency and multiply human capital.</p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Key Responsibilities</span></p>\n<p><span style=\"font-weight: bold\">Financial Operations &amp; Accounting</span></p>\n<ul>\n<li>Lead all aspects of financial management, including:\n<ul>\n<li>General ledger, close processes, and multi-entity accounting</li>\n<li>Financial statements (P&amp;L, balance sheet, cash flow)</li>\n<li>Treasury management</li>\n</ul>\n</li>\n<li>Ensure strong internal controls, compliance, and audit readiness</li>\n<li>Oversee external relationships (auditors, tax advisors, banking partners)</li>\n</ul>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Payroll &amp; Benefits Leadership</span></p>\n<ul>\n<li>Provide executive oversight of payroll across physicians, APPs, and staff</li>\n<li>Ensure accurate and compliant compensation structures, including productivity-based models</li>\n<li>Continuously track payroll trends to ensure integrity of complex payroll structure</li>\n<li>Oversee and optimize employee benefits programs (health, retirement, disability, etc.)</li>\n<li>Partner with leadership to align compensation and benefits with organizational strategy</li>\n</ul>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Financial Planning &amp; Analysis</span></p>\n<ul>\n<li>Accountable for the completion and/or oversight of budgeting, forecasting, and long-term financial planning</li>\n<li>Deliver clear variance analysis and forward-looking insights</li>\n<li>Support strategic decision-making through modeling and performance analysis</li>\n</ul>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Operational &amp; Contract Performance</span></p>\n<ul>\n<li>Oversee financial performance across sites and contracts</li>\n<li>Identify trends in revenue, staffing costs, and margins</li>\n<li>Support leadership in evaluating growth opportunities and contract sustainability</li>\n</ul>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Revenue Integrity </span></p>\n<p>This role serves as executive sponsor of Revenue Integrity, ensuring that all revenue is:</p>\n<ul>\n<li><span style=\"font-weight: bold\">Accurate</span> – reflects clinical work performed</li>\n<li><span style=\"font-weight: bold\">Complete</span> – minimizes revenue leakage</li>\n<li><span style=\"font-weight: bold\">Compliant</span> – aligns with payer and regulatory requirements</li>\n</ul>\n<p>Key focus areas:</p>\n<ul>\n<li>Oversight of charge capture, coding alignment, and documentation integrity\n<ul>\n<li>Full cycle: registration through collections</li>\n</ul>\n</li>\n<li>Partnership with partner facilities, clinical leadership, and revenue cycle vendor(s)</li>\n<li>Establishment of KPI-driven visibility into denials, leakage, and payer performance</li>\n<li>Accountability and oversight of CNR (Charts Not Received) and RAI (Request for Additional Information)</li>\n<li>Lead BlueWater Health resource for IT downtime/disaster recovery as it relates to revenue cycle activities, including boots on the ground mitigation at partner sites when appropriate.</li>\n</ul>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Leadership &amp; Strategy</span></p>\n<ul>\n<li>Serve as a strategic advisor to the COO and Senior Leadership Team</li>\n<li>Partner with Chief Medical Officer in exploration, development, and/or implementation of value-based reimbursement opportunities</li>\n<li>Contribute to organizational planning, growth strategy, and performance improvement</li>\n<li>Build and lead a high-performing finance function</li>\n<li>Promote a culture of accountability, transparency, and data-driven decision-making</li>\n</ul>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Qualifications</span></p>\n<ul>\n<li>Bachelor’s degree in Accounting, Finance, or related field (CPA strongly preferred)</li>\n<li>10+ years of progressive finance leadership experience</li>\n<li>Healthcare or physician group experience strongly preferred</li>\n</ul>",
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