Accounts Payable Director

Integrated Dermatology•Boca Raton, FL

13d

About The Position

Integrated Dermatology is a national dermatology practice that acquires and partners with practices across the United States. 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 an MSO structure. This hands-on leadership role is responsible for building a scalable, automated, controlled procure-to-pay environment that supports physician practices and management-company entities. The director will develop the AP team, establish policies and procedures, optimize Coupa and Coupa Pay, strengthen internal controls, and improve automation and transaction capacity. The role owns the vendor payment lifecycle, including payment onboarding, validation and maintenance of banking and remittance information, payment-method setup, and payment readiness. Procurement retains responsibility for vendor sourcing, contracts, commercial terms, and overall vendor relationship management. The role also owns the AP integration playbook for acquired practices and oversees the company’s T&E program, including corporate cards, expense policy, spend controls, and practice and departmental budgets managed through a spend-management platform. The director partners across Finance, Accounting, Procurement, Treasury, Operations, Integration, and practice leadership.

Requirements

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.
Hands-on experience with an enterprise P2P/AP system.
Experience with workflow configuration and optimization, supplier enablement, payment methods, approval workflows, and process improvement—not solely end-user processing.
Experience designing and implementing AP automation and scalable operating models, with measurable improvements 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 is 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.
Bachelor’s degree in Accounting, Finance, Business, or a related field.

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 monitor automation, productivity, service-level, and transaction-capacity targets; redesign processes to scale without proportional headcount growth.
Design and maintain two-way and three-way matching, approval workflows, and exception management.
Own the financial and payment aspects of vendor onboarding after Procurement approval, including W-9s, banking instructions, remittance information, and payment documentation.
Set up supplier payment methods, prioritizing virtual cards and ACH where appropriate and using checks by exception.
Maintain vendor-master safeguards, 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 and liabilities, recurring payments, open POs, approval authorities, payment methods, banking information, and legacy processes.
Establish vendors and payment workflows in Coupa under the appropriate legal entity/TIN and manage the cutoff between seller obligations and post-close obligations.
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 platform such as Ramp, BILL/Divvy, or similar.
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.
Enforce 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 the AP organization, establishing 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 with Coupa and operational processes, directly resolving problems as needed.
Act 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 problems and present actionable solutions.
Partner with Procurement to increase PO adoption while maintaining clear accountability between commercial vendor management and AP payment administration.