---
title: 'Director, Order to Cash at HHAeXchange'
canonical: 'https://feeny.ai/job/director-order-to-cash-hhaexchange-new-york-tdmhhkgenvpj'
type: 'job'
last_seen: '2026-09-09'
---

# Director, Order to Cash at HHAeXchange

- **Company:** HHAeXchange
- **Location:** New York, NY
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-08-19
- **Last confirmed live:** 2026-09-09
- **Apply:** https://jobs.lever.co/hhaexchange/6e2a5dd0-9c20-408c-bfc7-10dfbc9ef4c1

## 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

## Company Overview
- **One-liner**: HHAeXchange provides a homecare management software platform that connects providers, payers, and members to streamline Medicaid long-term services and supports (LTSS).
- **Entity Type**: Private (Private Equity‑backed; last round led by Hg in 2021)
- **Headquarters**: New York, NY, USA
- **Founded**: 2008
- **Founders**: Not publicly available

## Core Business
- **Primary industries**: Healthcare IT, Homecare Management Software, Medicaid LTSS Technology
- **Target customers**: B2B – homecare agencies, managed care organizations (MCOs), state Medicaid programs, and self‑direction service providers
- **Mission / purpose**: “Help make homecare better for everyone” by enabling aging and disabled individuals to thrive in their homes and communities

## Products & Services
- **HHAeXchange Platform** (SaaS): End‑to‑end homecare management solution covering scheduling, billing, EVV (Electronic Visit Verification), compliance, and analytics. Acts as a single source of truth connecting providers, payers, and members.

## Market Standing
- **Valuation / Market Cap**: Not disclosed
- **Key Metric**: Annual revenue of **$35.4M** (latest estimate); total funding not publicly itemized across multiple PE rounds (led by Wincove, Cressey & Company, Hg)
- **Notable Investors / Partners**: Hg (lead in 2021), Wincove (2014), Cressey & Company (acquired majority stake in 2019). Partners include HCP (integration partnership announced 2022).
- **Growth Signals**:
  - Named to Inc. 5000 list of fastest‑growing private companies for ten consecutive years
  - Headcount grew ~21.6% YoY (453 employees per LinkedIn data; Built In reports 502)
  - Aggressive acquisition strategy: acquired Cashé Software (Jun 2024), Generations Homecare System (Jul 2024), and Sandata (Oct 2024)
  - Expanded executive team with new CHRO and CRO in early 2025

## Competitive Advantages
- **End‑to‑end coverage**: Only platform that fully integrates provider, payer, and member workflows for Medicaid LTSS – a complete view not offered by many competitors.
- **Network effects**: Large installed base (thousands of agencies, multiple state Medicaid programs) creates switching costs and data network effects.
- **Regulatory alignment**: Deep expertise in EVV and Medicaid compliance, making the platform “sticky” for government‑contracted providers.
- **Recent acquisitions**: Adding self‑direction (Annkissam), billing (Cashé), and broader homecare capabilities (Generations, Sandata) to widen the moat.

## Strategic Focus
- Continue expanding through M&A to build the most comprehensive homecare management ecosystem.
- Enhance data insights and interoperability across payers, providers, and state systems.
- Scale headcount and go‑to‑market capabilities (notably adding sales and customer success roles).

## Why Work Here
- **Culture**: Emphasizes core values **Achieve, Grow, Collaborate, Support**. Offers on‑the‑spot rewards, mental health initiatives, cultural celebrations, and employee inclusion events.
- **Work policy**: Primarily on‑site (New York HQ, plus offices in Miami, Minneapolis, Frisco, TX). Some roles posted as “In‑Office or Remote” – check specific listings.
- **Benefits**: Performance bonuses, generous parental leave, dental/health insurance, Flexible Spending Account (FSA), tuition assistance, and diversity‑based Employee Resource Groups (ERGs).
- **Engineering culture**: Growing tech team (99 technical staff) with stack including Ruby on Rails; opportunities to work on platform data insights and integration projects.
- **Impact**: Directly improve the lives of aging and disabled individuals – a mission‑driven environment.
- **Recent employee ratings** (242 reviews): Overall 2.8/5.0 (Work‑Life 2.8, Compensation 3.1, Culture 2.7, Career 2.6) – indicates room for improvement, but typical for a fast‑growing PE‑backed company.

## Sources
1. [HHAeXchange Careers Page (Lever)](https://jobs.lever.co/hhaexchange)
2. [HHAeXchange Official Careers Page](https://www.hhaexchange.com/careers)
3. [LinkedIn Company Profile](https://linkedin.com/company/hhaexchange)
4. [Built In NYC Company Profile](https://builtin.com/company/hhaexchange)

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