VP, Payroll & Billing

ingenovishealth; Cincinnati (OH); On-site; USD 200,000 - 300,000; Full time

Job summary

Ingenovis Health seeks a senior executive to lead Payroll & Billing, directing payroll processing and AR across brands. You will drive efficiency, accuracy, and scalable service delivery while aligning with enterprise priorities and governance across Bullhorn, ADP, and Workday.

Ideal candidates bring 12+ years in payroll/AR leadership within staffing or healthcare, with a degree in business, accounting, or finance. MBA/CPA/CPP preferred and strong cross-functional collaboration are essential.

Qualifications

• 12–15+ years of progressive payroll, AR, and/or shared services leadership experience.
• Staffing/healthcare industry experience strongly preferred.
• Experience leading multi-brand, multi-location shared services operations.
• Strong analytical and strategic thinking with a solution-oriented mindset.
• Bachelor's degree; MBA, CPA, CPP preferred.

Responsibilities

• Provide strategic direction and leadership for payroll and billing operations across brands and locations.
• Drive transformation and process optimization within ERP systems (Bullhorn, ADP, Workday).
• Establish and monitor KPIs, governance, and internal controls to ensure compliance and efficiency.
• Collaborate with Brand Leaders, Recruiting, Sales, HR, IT, Finance and Marketing.
• Lead readiness for M&A, new brand initiatives, and system transitions.
• Manage relationships with external payroll providers, clients, vendors, and regulators.

Skills

Payroll leadership

Strategic thinking

Analytical skills

Cross-functional collaboration

Change management

Growth mindset

Executive presence

Education

Bachelor's degree in Business/Accounting/Finance

MBA / CPA / CPP preferred

Tools

Workday

Bullhorn

ADP Workforce Now

Microsoft Office

Job description

SUMMARY

The Vice President, Payroll & Billing is responsible for the overall leadership, direction and performance of the payroll and accounts receivable shared service organization (>85 team members), which serves each of our healthcare staffing brands. This role ensures our team provides accurate and timely services to pay our healthcare providers and corporate support staff, as well as bill and collect from our customers. Also, this role develops and implements strategies, internal controls, and operating procedures to support scalable and efficient service delivery across all brands, locations, and systems (Bullhorn, ADP, and Workday). In the future, this role could also lead the Accounts Payable and T&E functions as well.

RESPONSIBILITIES

1. Strategic Leadership Provide strategic direction and operational leadership for payroll and billing operations, including field payroll (19,000+ clinician placements in 2024), corporate payroll, billing, and cash application Partner closely with Finance, HR, IT, and Operations leaders to align shared services with enterprise priorities Establish a high-performance culture focused on accountability, service excellence, and continuous improvement Lead shared services continued integration efforts, including for future acquisitions
2. Transformation & Process Optimization Lead strategy and execution for the optimization of pay/bill within our Bullhorn, ADP, and Workday ERP systems, resulting in a higher-ROI operating model Drive standardization and integration of processes across functions and brands Evaluate and redesign end-to-end processes to improve efficiency, accuracy, and scalability Champion automation, transformation, and decision-useful reporting to business leaders
3. Operational Excellence Ensure accurate and timely processing of weekly payroll and billing Implement and maintain strong internal controls, policies, and governance frameworks to ensure accuracy, efficiency, and compliance with all federal, state, and local regulations Establish key performance indicators (KPIs) and reporting dashboards to monitor performance and identify improvement opportunities. For example, payroll and billing accuracy, DSO, service levels, and cost-to-serve metrics Serve as an escalation point for complex operational or clinician/client-related payroll and billing issues Optimize service delivery through effective workforce strategies, including shared service centers, offshore resources, and strategic third-party partnerships
4. Cross-Functional Partnerships Collaborate closely with Brand Leaders, Recruiting, Sales, HR, IT, Finance and Marketing. Partner with emergency response (strike) staffing brand to ensure payroll and billing scale quickly and efficiency Lead Payroll and Billing readiness and integration for M&A activity, new brand initiatives, or system transitions Manage relationships with external payroll service providers, clients, vendors, and government agencies as necessary
5. Compliance, Quality & Risk Reduction Stay abreast of changes in payroll regulations and industry best practices to ensure compliance and mitigate risks Maintain internal controls for adjustments, credits, write-offs, and approvals Reduce risk through audit readiness, documentation standards, and strong governance Ensure adherence to contract terms, payer requirements, and healthcare industry regulations
6. Leadership, Talent Development & Culture Build, lead, and develop a high-performing Shared Services organization Assess and upgrade talent to meet evolving organizational needs Drive workforce transformation, including upskilling and leadership development Foster engagement, collaboration, and continuous improvement across teams Build future leadership bench through structured development, cross-training, and career pathways
7. Other Performs additional duties as requested by management Participate in special projects and initiatives as assigned by senior management to support the strategic objectives of the organization.

REQUIREMENTS AND EXPERIENCE

• 12-15+ years of progressive payroll, AR, and/or shared service leadership experience
• Experience in the staffing and/or healthcare industries strongly preferred
• Experience leading multi-brand, multi-location shared service operations
• Strong analytical and strategic thinking skills, with a solution-oriented mindset and the ability to navigate ambiguity
• Personally exhibits characteristics of resilience and "growth mindset" in the face of new and unexpected challenges, intellectual curiosity and exceptional EQ and fosters these characteristics in others
• Expert proficiency in Microsoft Office products
• Strong proficiency in ERP and other systems for payroll, billing, and A/P required
• Experience with other analytical or financial systems such as Workday, ADP Workforce Now, and Bullhorn strongly preferred
• Bachelor's degree required (Business, Accounting, Finance, or related field). MBA, CPP, CPA, or related advanced credential preferred