Reporting to the Chief Financial Officer (CFO), the VP collaborates closely with finance, clinical, operations, billing, compliance, pharmacy, and credentialing teams to drive operational excellence and mitigate risk across all service lines, including medical, dental, behavioral health, and pharmacy (retail and 340B). This role plays a key part in ensuring financial sustainability by maximizing reimbursements, improving cash flow across all clinical and pharmacy service lines, strengthening payer relationships, and ensuring full compliance with FQHC-specific billing regulations.