Role Description We're looking for a Head of Radiology Services at an exciting time: we've successfully launched multiple platforms and products, raised over $100m in VC funding, reached profitability, and have a growth trajectory of over 100% YoY. The Radiology Services team is the operational and technical backbone of Scan.com's imaging delivery engine. You will own the end-to-end flow of every imaging order from the moment a scan is completed through to report delivery to the referring provider, encompassing: - Image receipt - Radiologist routing - Report quality assurance - Final delivery A meaningful percentage of studies today require manual intervention due to errors in metadata, routing, image matching, or report formatting. Your job is to systematically eliminate those failure points while keeping the operation running in real time. You will inherit and drive forward an in-flight stabilization program that is already underway to automate and modernize the interoperability layer. You will not be starting from scratch, but you will be accountable for landing these projects, measuring their impact, and defining what comes next. You will report directly to the SVP Operations, with a dotted line to the COO, working closely with Product, Integrations, and Clinical leadership. This is a hands-on leadership role that sits at the intersection of operations and technology. As a scale-up business, you can expect your role to develop over time. Here are the types of things you will own: - Operational Execution & Case Flow - Ownership of daily case flow from image receipt through report delivery, including workforce management, coverage scheduling, escalation protocols, and BPO partner oversight across onshore and offshore teams - Real-time operational monitoring: daily huddles, dashboard-driven and predictive reviews of key metrics (TAT, error rate, backlog age, exception volume), and proactive intervention before delays compound - First line of escalation for operational issues, including image acquisition failures, report chasing, mismatched studies, and case flow delays - Stakeholder relationship management with radiologists, referring providers, imaging centers, and external partners - Technical Architecture & Interoperability - Ownership of the connectivity tech stack: defining and evolving the DICOM routing, image storage, PACS integration, and data exchange architecture - Driving the migration of radiology groups to standardized integration formats (structured data over PDF) - Overseeing the deployment and scaling of automated image matching infrastructure at imaging centers - Evaluating and making build/buy/partner decisions on integration middleware - Working with Engineering and Integrations to ensure new imaging center onboarding includes connectivity standards from day one - Systematic Improvement & Automation - Partnering with Product to design and ship solutions that reduce manual intervention rates - Identifying and deploying high-leverage AI and automation initiatives across the case flow - Owning the error taxonomy and driving root-cause elimination through process, product, and integration changes - Comprehensive error reporting and closed-loop feedback - P&L, Metrics & Team Leadership - Own the P&L for the Radiology Services business unit - Metrics ownership: weekly and monthly KPI reviews tied to SLA targets - Team leadership: 1:1s, performance management, goal-setting - Cross-functional collaboration: bridging Operations, Product, Integrations, and Engineering Qualifications - Operational DNA: Experience running mission-critical processes in a scaling organization - Process and workflow fluency: Understanding of business process flows and dependencies - Imaging technology fluency: Opinion on technologies used to store, transfer, and route images - AI and automation mindset: Fluency in AI and automation mechanics - Product-first thinking: Prioritization of system improvements over hiring - Team leadership: Ability to inspire and manage small, high-leverage teams - Healthcare/clinical literacy: Experience in healthcare operations is a plus - Comfort with distributed operations: Experience managing teams across multiple locations - Data-driven decision-making: Proficiency in dashboards, analytics tools, and metrics - Communication skills: Ability to articulate complex operational trade-offs clearly Requirements - Land the interoperability stabilization program - Decommission legacy systems and enforce integration standards - Build the team and operating cadence - Reduce manual intervention rates through product and automation - Own stakeholder relationships and build trust Benefits - $170k - $200k - 401k - Healthcare, Vision, and Dental - All the equipment needed for you to do your role effectively - Flexible working - Remote or hybrid working options - Personal Development budgets - 18 days PTO plus public holidays - 10 paid sick days - Inclusive policies designed by our team, for our team

What's the Role? The Client Accounting Services Department Lead is a senior leadership role responsible for building, leading, and scaling the firm's CAS practice. This position plays a critical role in evolving the firm from traditional bookkeeping services into a true client advisory-focused CAS model. This is a unique opportunity for an experienced CAS leader to build the practice from the ground up, establish scalable processes, lead a high-performing team, and partner closely with firm leadership to drive long-term growth and innovation. This role may be based in any of our 19 MBE office locations, filled as a hybrid opportunity, or filled as a remote position, depending on experience. We'll interview for this role during the traditional CPA firm "opportunity season" with the plan to launch the role in late April-June. What Will I Do? - Lead the strategy, structure, and growth of the CAS practice. - Oversee client advisory engagements and serve as a trusted advisor to key clients. - Build scalable workflows, service standards, and best practices across the CAS department. - Lead, mentor, and develop CAS managers, supervisors, and team members. - Partner with firm leadership on pricing, service offerings, and growth initiatives. - Ensure high-quality service delivery, compliance, and operational efficiency. What Experience and Skills Do I Need to Be Successful? Required Qualifications - 10+ years of experience in accounting and Client Accounting Services. - 5+ years in a leadership or senior management role within CAS or outsourced accounting. - Proven experience building, scaling, or transforming a CAS or bookkeeping practice. - Strong knowledge of accounting standards, payroll, and outsourced accounting services. - Experience leading teams and managing multiple client engagements. Key Skills - Strategic and entrepreneurial leadership mindset. - Strong client advisory and relationship management skills. - Ability to build processes, teams, and scalable service models. - Comfort driving change and innovation within a growing firm. - CPA or similar professional certification preferred. Why Join This Opportunity? - Build a CAS practice from the ground up with firm leadership support. - High-impact leadership role with visibility and influence. - Entrepreneurial firm culture that values innovation and growth. - Opportunity to shape services, processes, and team structure. - Long-term career growth and upward mobility within the firm. Work Schedule & Travel - Full-time position. - Periodic travel required (approximately 6–8 times per year). - Role may be based in one of our offices, hybrid, or remote, depending on experience. How Do I Apply? Apply with your resume through our ATS. Qualified candidates will be contacted for next steps in the interview process. Candidates may also reach out to our Lead Recruiter, Brock Kazda, on LinkedIn. About the Firm MBE CPAs provides accounting, tax, and advisory services through an expanding affiliate group. With 19 office locations across Wisconsin, Arizona, Nebraska, and Colorado, the firm is committed to helping clients succeed while offering meaningful career growth opportunities for its team members.

What's the Role? The Client Accounting Services Department Lead is a senior leadership role responsible for building, leading, and scaling the firm's CAS practice. This position plays a critical role in evolving the firm from traditional bookkeeping services into a true client advisory-focused CAS model. This is a unique opportunity for an experienced CAS leader to build the practice from the ground up, establish scalable processes, lead a high-performing team, and partner closely with firm leadership to drive long-term growth and innovation. This role may be based in any of our 19 MBE office locations, filled as a hybrid opportunity, or filled as a remote position, depending on experience. We'll interview for this role during the traditional CPA firm "opportunity season" with the plan to launch the role in late April-June. What Will I Do? - Lead the strategy, structure, and growth of the CAS practice. - Oversee client advisory engagements and serve as a trusted advisor to key clients. - Build scalable workflows, service standards, and best practices across the CAS department. - Lead, mentor, and develop CAS managers, supervisors, and team members. - Partner with firm leadership on pricing, service offerings, and growth initiatives. - Ensure high-quality service delivery, compliance, and operational efficiency. What Experience and Skills Do I Need to Be Successful? Required Qualifications - 10+ years of experience in accounting and Client Accounting Services. - 5+ years in a leadership or senior management role within CAS or outsourced accounting. - Proven experience building, scaling, or transforming a CAS or bookkeeping practice. - Strong knowledge of accounting standards, payroll, and outsourced accounting services. - Experience leading teams and managing multiple client engagements. Key Skills - Strategic and entrepreneurial leadership mindset. - Strong client advisory and relationship management skills. - Ability to build processes, teams, and scalable service models. - Comfort driving change and innovation within a growing firm. - CPA or similar professional certification preferred. Why Join This Opportunity? - Build a CAS practice from the ground up with firm leadership support. - High-impact leadership role with visibility and influence. - Entrepreneurial firm culture that values innovation and growth. - Opportunity to shape services, processes, and team structure. - Long-term career growth and upward mobility within the firm. Work Schedule & Travel - Full-time position. - Periodic travel required (approximately 6–8 times per year). - Role may be based in one of our offices, hybrid, or remote, depending on experience. How Do I Apply? Apply with your resume through our ATS. Qualified candidates will be contacted for next steps in the interview process. Candidates may also reach out to our Lead Recruiter, Brock Kazda, on LinkedIn. About the Firm MBE CPAs provides accounting, tax, and advisory services through an expanding affiliate group. With 19 office locations across Wisconsin, Arizona, Nebraska, and Colorado, the firm is committed to helping clients succeed while offering meaningful career growth opportunities for its team members.

What's the Role? The Client Accounting Services Department Lead is a senior leadership role responsible for building, leading, and scaling the firm's CAS practice. This position plays a critical role in evolving the firm from traditional bookkeeping services into a true client advisory-focused CAS model. This is a unique opportunity for an experienced CAS leader to build the practice from the ground up, establish scalable processes, lead a high-performing team, and partner closely with firm leadership to drive long-term growth and innovation. This role may be based in any of our 19 MBE office locations, filled as a hybrid opportunity, or filled as a remote position, depending on experience. We'll interview for this role during the traditional CPA firm "opportunity season" with the plan to launch the role in late April-June. What Will I Do? - Lead the strategy, structure, and growth of the CAS practice. - Oversee client advisory engagements and serve as a trusted advisor to key clients. - Build scalable workflows, service standards, and best practices across the CAS department. - Lead, mentor, and develop CAS managers, supervisors, and team members. - Partner with firm leadership on pricing, service offerings, and growth initiatives. - Ensure high-quality service delivery, compliance, and operational efficiency. What Experience and Skills Do I Need to Be Successful? Required Qualifications - 10+ years of experience in accounting and Client Accounting Services. - 5+ years in a leadership or senior management role within CAS or outsourced accounting. - Proven experience building, scaling, or transforming a CAS or bookkeeping practice. - Strong knowledge of accounting standards, payroll, and outsourced accounting services. - Experience leading teams and managing multiple client engagements. Key Skills - Strategic and entrepreneurial leadership mindset. - Strong client advisory and relationship management skills. - Ability to build processes, teams, and scalable service models. - Comfort driving change and innovation within a growing firm. - CPA or similar professional certification preferred. Why Join This Opportunity? - Build a CAS practice from the ground up with firm leadership support. - High-impact leadership role with visibility and influence. - Entrepreneurial firm culture that values innovation and growth. - Opportunity to shape services, processes, and team structure. - Long-term career growth and upward mobility within the firm. Work Schedule & Travel - Full-time position. - Periodic travel required (approximately 6–8 times per year). - Role may be based in one of our offices, hybrid, or remote, depending on experience. How Do I Apply? Apply with your resume through our ATS. Qualified candidates will be contacted for next steps in the interview process. Candidates may also reach out to our Lead Recruiter, Brock Kazda, on LinkedIn. About the Firm MBE CPAs provides accounting, tax, and advisory services through an expanding affiliate group. With 19 office locations across Wisconsin, Arizona, Nebraska, and Colorado, the firm is committed to helping clients succeed while offering meaningful career growth opportunities for its team members.