Manager, Revenue Cycle and AR Transformation FT

EHN Canada is the nation’s largest private network of industry-leading mental health, trauma, and addiction treatment facilities, each with a passion for providing quality treatment for Canadians. We are committed to both caring for our patients and supporting their loved ones. With over 100 years of collective experience, our inpatient, outpatient, and online programs are offered across the country, providing essential compassionate care to patients wherever they are.

EHN Canada prides themselves on providing both excellent and accessible care to all Canadians.

Learn more at ehncanada.com

Be part of the work that’s changing lives.

Overview

We are looking for a hands-on leader to drive EHN’s order-to-cash transformation and the change management that comes with it. You will redesign how EHN bills and recognizes revenue, connecting clinical data from KIPU, commercial agreements from Salesforce CPQ, and NetSuite billing and Advanced Revenue Management (ARM), so that invoices and revenue follow the care we actually deliver. You will coordinate our NetSuite and Salesforce partners and guide the team through new processes.

The Senior Manager of Accounting continues to lead day-to-day AR operations, and the two roles work closely together throughout. You will also work closely with the Controller. As the new processes are established over about the first 12 months, this role takes on leadership of the redesigned order-to-cash function, owning its performance, controls and continuous improvement.

This role suits someone who has both designed a better process and run it day to day, and who wants to leave a function stronger and less dependent on any one person than they found it.

Key Responsibilities

Lead the order-to-cash transformation

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• Manage day-to-day delivery of the transformation roadmap: plan, budget, risks, issues and status reporting to the Controller and finance leadership
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• Lead the redesign of billing and revenue recognition around sales orders, billing schedules and NetSuite ARM, with revenue driven by actual days and sessions of care
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• Direct an interim flat-file approach that generates sales orders and days of care from Snowflake, then guide its evolution into a full KIPU, Salesforce CPQ and NetSuite integration
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• Coordinate NetSuite system experts, Salesforce CPQ consultants and EHN’s data and IT teams, holding them to EHN’s design and ensuring knowledge transfer
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• Lead sandbox testing, historical replays and parallel runs, and prepare go-live recommendations against pre-agreed pass/fail criteria for the Controller’s approval
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• Co-own, with the CPQ team, a single product and item catalog for programs, bundles and services
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Own order-to-cash performance as new processes go live

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• As each process goes live, take on leadership of billing, cash application, collections, credits and refunds across private pay, corporate, insurance and government payers
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• Set and track KPIs such as days sales outstanding, aged AR, credit memo rate, unapplied cash, billing lag and completeness of billing
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• Reduce aged and unapplied balances and establish a sound approach to the allowance for doubtful accounts
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• Build documented billing rules, runbooks and cross-training so no part of the process depends on a single person
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Strengthen controls and support audits

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• Design and implement segregation of duties across billing, cash application and adjustments, for the Controller’s approval
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• Introduce approval workflows for credit memos, refunds, write-offs and manual journals
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• Own monthly reconciliations, including AR to general ledger and KIPU census to recognized revenue
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• Support the Controller with external auditors on revenue and receivables, preparing analysis and recommendations on recognition and allocation approaches
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• Protect patient health information in billing processes and data transfers, in line with Canadian privacy legislation
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Lead and develop the team

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• Lead change management for the AR team, working closely with the Senior Manager of Accounting, who leads day-to-day AR operations
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• Help shape the future organization, including revenue cycle analysis, billing specialists by payer stream, cash application and collections
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• Coach the team as their work shifts from manual billing decisions to exception management and analysis
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Partner across the organization

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• Work with Admissions, Intake and clinical operations to improve the quality of payer and program data captured at admission
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• Partner with Sales and the CPQ team on financial agreements, pricing and discount controls
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• Work with FP&A and the data team on revenue and AR reporting
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What success looks like

In your first 90 days, you will:

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• Understand the current billing process, payer mix and team, and confirm baseline KPIs
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• Have approval workflows and an independent review of credits and refunds in place
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• Have agreed the joint product and item catalog direction with the CPQ team
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• Have completed the NetSuite ARM sandbox test with our NetSuite partners and drafted pass/fail criteria for review by the Controller and auditors
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• Have a working governance rhythm with NetSuite and Salesforce partners
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In your first 12 months, you will have:

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• Taken the first payer stream live on sales orders, billing schedules and ARM, then rolled out the remaining streams
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• Eliminated zero-dollar reclass invoices and materially reduced credit memo volume
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• Established monthly completeness and revenue reconciliations that auditors can rely on
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• Reduced aged AR and unapplied cash against agreed targets
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• Put in place a documented, cross-trained process and a team structure that separates billing, cash application and collections
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Job Qualifications

Required

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• Degree in accounting, finance or business; CPA designation (CPA Canada) preferred or in progress
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• 5 or more years in accounts receivable, billing, revenue accounting or order-to-cash, including experience leading or supervising a team
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• Hands-on involvement in at least one billing, revenue recognition or ERP implementation from design through go-live
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• Strong hands-on NetSuite experience, including sales orders, billing schedules, invoicing and CSV imports
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• Working knowledge of revenue recognition principles (ASPE Section 3400 or IFRS 15)
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• Experience with AR controls, reconciliations and supporting external audits
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• Experience coordinating consultants or system partners against a plan and timeline
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• Comfort working with data: building reconciliations, defining KPIs and specifying data requirements for technical teams
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• Clear communicator who can explain billing and accounting issues to clinical, sales and finance audiences
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Preferred

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• NetSuite Advanced Revenue Management (ARM) implementation experience
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• Experience with Salesforce CPQ and quote-to-cash integration between Salesforce and an ERP
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• Healthcare, treatment or multi-payer billing experience, ideally with Canadian extended health insurers, workers’ compensation boards or Veterans Affairs Canada
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• Familiarity with electronic health record systems such as KIPU, or with clinical data used for billing
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• Working knowledge of SQL or a data warehouse such as Snowflake
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• Change management or project management training (for example, Prosci or PMP)
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• Knowledge of Canadian privacy legislation such as PHIPA and PIPEDA
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• Bilingual English and French, given our Quebec operations
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What we offer

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• A high-impact role working in close partnership with the Controller and finance leadership
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• The chance to build a modern order-to-cash function in an organization whose work changes lives
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• Hybrid working from Toronto, with occasional travel to EHN facilities
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Employee Benefits and Perks:

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• Comprehensive benefits package including a yearly allowance of $2,000 for mental health and addiction services, plus $600 for various paramedical services (e.g., massage, physiotherapy)
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• 24/7 Employee Assistance Program through GreenShield Health
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• Competitive paid time off, with an extra paid day off for your birthday, offered to eligible employees
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• Float Days and Recognized Statutory Holidays, providing additional flexibility and time off for eligible employees
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• Access to in-house fitness facilities or discounted gym memberships
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• Exclusive discounts through Perkopolis on entertainment, insurance, and more
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• Opportunities for personal and professional growth through our Education Support Assistance program
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• Supportive relocation opportunities due to our nationwide presence
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• Defined Benefit pension plan with up to a 4% employer contribution
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• Maternity and parental leave top-up
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• Discounts available at Kids & Co. Daycare.
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Artificial intelligence (AI) may be used to screen, assess, or select applicants for this position by analyzing application materials and generating recommendations to support human decision-making.

EHN Canada is an employment equity employer. If you should require accommodation during the interview process, please contact Human Resources.