Accounts Payable Director

Integrated Dermatology•Boca Raton, FL

About The Position

The Accounts Payable Director leads accounts payable, vendor payments, and travel and expense functions for a rapidly growing, multi-state, multi-entity healthcare organization operating under a managed services organization structure. The role develops and operates a scalable, automated, and controlled procure-to-pay environment serving physician practices and management company entities across the United States. It combines strategic leadership with hands-on operational work, including building the AP team, establishing policies and procedures, optimizing Coupa and Coupa Pay, strengthening controls, and automating processes to increase transaction capacity without proportionate headcount growth. The position owns the vendor payment lifecycle, including payment onboarding, banking and remittance validation and maintenance, payment-method setup, and payment readiness. Procurement retains responsibility for vendor sourcing, contracting, commercial terms, and overall vendor relationship management. The Director also owns the AP integration playbook for acquired practices and oversees the T&E program, including corporate cards, expense policy, spend controls, and practice and departmental budgets. The Director partners with Accounting, Procurement, Treasury, Operations, Integration, and practice leadership. The role supports accurate accounting and month-end close, maintains a strong control environment, develops measurable KPIs, and builds and leads a high-performing AP organization. The role is full-time and exempt.

Requirements

  • 8–10+ years of progressive Accounts Payable/P2P experience, including 4+ years leading teams in a complex, high-volume environment.
  • Experience supporting a multi-entity, multi-location organization.
  • Hands-on enterprise P2P/AP system experience, including workflow configuration and optimization, supplier enablement, payment methods, approval workflows, and process improvement.
  • 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 a spend/budget management platform.
  • 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.
  • Bachelor’s degree in Accounting, Finance, Business, or a related field preferred; equivalent relevant experience considered.

Nice To Haves

  • Coupa/Coupa Pay experience; SAP Ariba, Oracle, or comparable enterprise-scale platforms are acceptable alternatives.
  • Experience integrating acquisitions, new locations, or business units into a centralized AP/P2P environment.
  • Healthcare, physician practice management, MSO, or other highly decentralized/multi-site industry experience.
  • NetSuite experience.
  • Accounts Payable certification, such as CAPA.

Responsibilities

  • Own the end-to-end invoice-to-pay and payment lifecycle across legal entities, physician practices, and locations.
  • Serve as the functional owner and subject-matter expert for Coupa/Coupa Pay, including invoice workflows, approval routing, supplier enablement, payment configuration, and settlement.
  • Develop an automated AP operating model using PO-based purchasing, EDI/e-invoicing, OCR, supplier portals, automated matching, and exception-based processing.
  • Set and continually improve automation, productivity, service-level, and transaction-capacity targets and processes.
  • Design and maintain two-way and three-way matching, approval workflows, and exception management.
  • Own the financial and payment components of vendor onboarding after Procurement approval, including W-9s, banking instructions, remittance information, and payment documentation.
  • Establish supplier payment methods, prioritizing virtual cards and ACH where appropriate and using checks by exception.
  • Maintain vendor-master controls, including segregation of duties, independent validation of banking changes, duplicate-vendor controls, and fraud prevention.
  • Partner with Treasury on payment runs, cash requirements, positive pay, ACH controls, settlement, stale checks, and payment optimization.
  • 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 and liabilities, recurring payments, open POs, approval authorities, payment methods, banking information, and legacy AP processes.
  • Establish vendors and payment workflows in Coupa and the appropriate legal entity/TIN, and ensure the cutoff between seller and post-close obligations is appropriate.
  • Develop Day 1, 30-day, 60-day, and 90-day AP integration milestones and communicate risks, decisions, dependencies, and outstanding items.
  • Administer and enforce T&E and corporate card policies, including cardholder onboarding and 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 spend-management platform.
  • Provide Operations and Finance leaders with visibility into controllable spend, budget utilization, policy exceptions, and out-of-budget activity.
  • Develop and maintain 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 an appropriate control environment.
  • Ensure appropriate GL coding across entities, practices, departments, and cost centers; 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 as needed and resolve problems directly.
  • Serve as the primary AP business partner to Accounting, Procurement, Treasury, Operations, Integration, and practice leadership.
  • Communicate issues, implementation risks, process changes, deadlines, and decisions to stakeholders.
  • Investigate recurring operational problems, identify root causes, and present practical, actionable solutions.
  • Partner with Procurement to increase PO adoption while maintaining clear accountability between commercial vendor management and AP payment administration.
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