Job Description

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.

The Director, Order to Cash will own the full customer transaction lifecycle. Ownership does not begin at billing — it begins the moment a renewal or new sale is closed, and continues through invoicing, collections, and cash application. This leader will develop a high-performing team, ensure accurate and timely execution across the entire order-to-cash flow, drive collections performance, and provide executive-level reporting that supports leadership decision-making. The ideal candidate brings a foundational understanding of accounting principles, strong cross-functional communication skills, and a process-first mindset.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position is opened to candidates that are located within the New York City, Minneapolis-St. Paul, and Washington, DC-Baltimore metro areas.

Essential Job Duties

Team Leadership

Lead, mentor, and develop a team of 3–5 billing and collections specialists

Set clear performance expectations, conduct regular 1:1s, and manage workload distribution

Foster a culture of accountability, continuous improvement, and collaboration

Revenue Lifecycle & Transaction Ownership

Own the end-to-end customer transaction lifecycle — from the point a renewal or new sale is closed, through order setup, invoicing, collections, and cash application — ensuring accuracy and continuity at every stage

Own all customer contract transactions end-to-end — including renewals, closed-won new business, upsells, downsells, and terminations — partnering with Customer Success and Sales to ensure each is executed accurately and flows cleanly into downstream transaction setup and billing

Oversee the end-to-end billing cycle including invoicing, collections, and cash application in NetSuite

Manage customer account reconciliations and ensure accurate GL coding and proper billing categorization

Monitor and manage accounts receivable aging to minimize DSO and maximize cash flow

Coordinate with Customer Success and external clients to resolve billing disputes and payment inquiries

Ensure billing data integrity across NetSuite and Salesforce, including subscription items and charge schedules

Reconciliation & Accounting Oversight

Perform and oversee account-level reconciliations between Salesforce (CRM) and NetSuite (billing/ERP system of record)

Understand the basic GL impact of billing events, adjustments, credits, and collections activity

Partner with the accounting and FP&A team to support month-end close, accruals, and audit requests

Reporting & Executive Summaries

Develop and maintain dashboards and KPI reports covering collections rates, aging buckets, DSO, and cash trends

Engage directly in weekly aging reviews, top delinquent account analysis, and high-risk customer situations

Prepare concise executive summaries that translate AR and collections data into actionable insights for leadership

Define, track, and communicate team output metrics to measure productivity and process effectiveness

Process Improvement

Document, standardize, and continuously refine workflows across the full order-to-cash lifecycle

Identify and implement process automation opportunities to increase efficiency and reduce manual error

Design and enforce disciplined collections operating rhythms, including daily, weekly, and monthly execution cadences

Lead hands-on improvements across collections, billing accuracy, cash application, and dispute workflows

Ensure improvements are embedded into daily execution, not just documented in policy

Partner with Finance, Engineering, and Product teams to drive system improvements in NetSuite and Salesforce

Cross-Functional Collaboration

Partner closely with Customer Success and Account Management to ensure seamless handoffs and a smooth customer experience across the transaction lifecycle

Collaborate with Sales Ops and RevOps on new customer onboarding, renewals, contract changes, and upsell processing

Maintain strong working relationships with external clients to support payment resolution and retention

Other Job Duties

Other duties as assigned by supervisor or HHAeXchange leader.

Travel Requirements

Travel up to 10%, including overnight travel

Required Education, Experience, Certifications and Skills

Required

10+ years of experience across billing, collections, revenue operations, or the order-to-cash lifecycle, including 5+ years leading a team

Hands-on experience with NetSuite (invoicing, AR, reconciliation, reporting)

Experience working with Salesforce as a CRM and/or billing system of record

Basic understanding of accounting principles — comfortable with GL impact of billing transactions, credits, and adjustments

Demonstrated experience leading and developing a high performing team in a fast-paced environment

Proven ability to design, document, and optimize operational processes

Excellent written and verbal communication skills, including experience presenting to senior leadership

Strong analytical skills with the ability to build executive-facing reports and dashboards

Preferred

Familiarity with healthcare, homecare, or Medicaid billing (e.g., payer billing, EVV, or healthcare AR)

Experience in a SaaS or subscription-based business model

Familiarity with Salesforce CPQ, ZoneBilling, or similar billing tools

Bachelor's degree in Accounting, Finance, Business, or a related field (or equivalent experience)

Experience working cross-functionally with Customer Success, RevOps, or Sales teams

The base salary range for this US-based, full-time, and exempt position is $141,000-175,000/yr, not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.

HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.

About HHAeXchange

At HHAeXchange, we believe that healthcare should be simple, effective, and transparent.

Since 2008, HHAeXchange has been at the forefront of delivering better homecare by helping payers and providers achieve operational efficiency, increase compliance, and improve patient outcomes.

Today, HHAeXchange is the premiere homecare management software for the Medicaid LTSS population. Our acquisition of Annkissam, a leading provider of enterprise software for self-direction services, allows us to deliver the most complete, end-to-end homecare management solution in the market.

We act as the single source of truth in connecting providers, payers, and members through our intuitive web-based platform, enabling unparalleled communication, transparency, and visibility.

Industry

IT & Software

Company Size

1,001-5,000 employees

Headquarters

New York, NY

Year Founded

2008

Website

hhaexchange.com

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