Note: The job is a remote job and is open to candidates in USA. Integrated Dermatology is hiring an Accounts Payable Director to lead accounts payable, vendor payments, and travel and expense functions for its multi-state, multi-entity healthcare organization. The role will build a scalable, automated procure-to-pay operation, strengthen controls, oversee acquisition and practice integrations, and lead the AP team.

Responsibilities

• Own the end-to-end invoice-to-pay and payment lifecycle across legal entities, physician practices, and locations
• Serve as functional owner and subject-matter expert for Coupa/Coupa Pay, including invoice workflows, approval routing, supplier enablement, payment configuration, and settlement processes
• Develop a highly automated AP operating model using PO-based purchasing, EDI/e-invoicing, OCR, supplier portals, automated matching, and exception-based processing
• Establish measurable automation, productivity, service-level, and transaction-capacity targets; continually redesign processes to scale without corresponding increases in headcount
• Design and maintain structured 2-way and 3-way matching, approval workflows, and exception management
• Own the financial/payment component of vendor onboarding following Procurement approval, including W-9s, banking instructions, remittance information, and required payment documentation
• Establish and maintain the appropriate payment method for each supplier, prioritizing virtual card and ACH where appropriate and using checks by exception
• Maintain strong vendor-master controls, including segregation of duties, independent validation of banking changes, duplicate-vendor controls, and fraud-prevention procedures
• Partner with Treasury on payment runs, cash requirements, positive pay, ACH controls, settlement, stale checks, and payment optimization
• Own and maintain a standardized AP integration playbook for acquisitions and newly integrated practices
• Lead pre-close and post-close AP readiness, including vendor inventories, outstanding invoices/liabilities, recurring payments, open POs, approval authorities, payment methods, banking information, and legacy AP processes
• Establish vendors and payment workflows within Coupa and the appropriate legal entity/TIN and ensure appropriate cutoff between seller obligations and post-close obligations
• Develop Day 1, 30-day, 60-day, and 90-day AP integration milestones; proactively communicate risks, decisions, dependencies, and outstanding items to stakeholders
• Own administration and enforcement of the Company’s T&E and corporate card policies
• Administer cardholder onboarding/offboarding, credit limits, merchant controls, receipt compliance, policy exceptions, and unusual-transaction review
• Configure and maintain 50+ practice, regional, departmental, and/or functional spend budgets using a platform such as Ramp, BILL/Divvy, or similar
• Provide Operations and Finance leaders with timely visibility into controllable spend, budget utilization, policy exceptions, and out-of-budget activity
• Develop and maintain comprehensive AP, vendor payment, and T&E policies, SOPs, desk procedures, approval matrices, and control documentation
• Design and enforce segregation of duties, delegated authority, duplicate-payment controls, vendor-master controls, banking-change verification, and fraud-prevention controls
• Support internal and external audits and maintain a strong control environment appropriate for a growing, PE-backed organization
• Ensure appropriate GL coding across entities, practices, departments, and cost centers and partner with Accounting on month-end cutoff and accrual accuracy
• Support month-end close including AP accruals, GRNI/unreceived goods, open invoices, recurring expenses, unapplied credits, stale checks, and vendor statement reconciliations
• Maintain W-9 compliance and support accurate 1099 preparation and reporting
• Build, lead, train, and develop a high-performing AP organization with clear roles, accountability, cross-training, and career development
• Establish KPIs for productivity, invoice cycle time, first-pass match rates, exception rates, payment timeliness, vendor onboarding, automation, accuracy, and service levels
• Remain hands-on in Coupa and operational processes when necessary; this role is expected to solve problems directly, not function solely as a people manager
• Serve as the primary AP business partner to Accounting, Procurement, Treasury, Operations, Integration, and practice leadership
• Proactively communicate issues, implementation risks, process changes, deadlines, and decisions to stakeholders
• Investigate recurring operational problems, identify root causes, and present practical, actionable solutions rather than simply escalating issues
• Partner with Procurement to increase PO adoption while maintaining clear accountability between commercial vendor management and AP payment administration

Skills

• 8–10+ years of progressive Accounts Payable/P2P experience, including 4+ years leading teams in a complex, high-volume environment
• Demonstrated experience supporting a multi-entity, multi-location organization required
• Hands-on enterprise P2P/AP system experience required
• SAP Ariba, Oracle, or comparable enterprise-scale platforms acceptable
• Experience must include workflow configuration/optimization, supplier enablement, payment methods, approval workflows, and process improvement—not solely end-user processing
• Demonstrated experience designing and implementing AP automation and scalable operating models, with measurable improvement in efficiency or transaction capacity
• Experience managing supplier payment onboarding, ACH/banking information, virtual cards, checks, vendor-master controls, and payment fraud prevention
• Experience administering a corporate card/T&E program and spend/budget management platform such as Ramp, BILL/Divvy, or comparable system
• Experience developing AP policies, SOPs, approval matrices, internal controls, and KPI reporting
• Strong analytical, root-cause problem-solving, written communication, and stakeholder-management skills
• Advanced Excel skills required
• Equivalent relevant experience considered
• Coupa/Coupa Pay strongly preferred
• Experience integrating acquisitions, new locations, or business units into a centralized AP/P2P environment strongly preferred
• Healthcare, physician practice management, MSO, or other highly decentralized/multi-site industry experience preferred
• Bachelor's Degree in Accounting, Finance, Business, or related field preferred
• Accounts Payable certification (e.g., CAPA) is preferred
• NetSuite experience preferred

Benefits

• Remote work

Company Overview

Company H1B Sponsorship