Accounts Payable Manager

Altus Community Healthcare•Houston, TX

13d•Hybrid

About The Position

The Accounts Payable Manager owns the full AP cycle across a private equity–backed, multi-entity emergency care group. The role manages accounts payable and corporate cards through Ramp and NetSuite, ensures vendors are paid accurately and on time, and provides reliable AP data for close, treasury, and corporate PE partners. The position reports to the Controller and is based in Houston, TX, with a hybrid work arrangement.

Requirements

Bachelor's degree in accounting or finance.
At least 5 years of accounts payable experience, including at least 2 years leading AP or a team.
Full-cycle AP experience across multiple entities, including intercompany accounting and month-end close.
Experience with NetSuite and Ramp or a similar AP and card platform.
Working knowledge of 1099 reporting, payment controls, and audit support.
Strong Excel skills, attention to detail, and clear, firm communication with vendors and approvers.

Nice To Haves

Healthcare or multi-site operations experience.
Experience at a private equity–backed company.
Experience managing an offshore team.
Experience implementing AP automation.

Responsibilities

Own the AP cycle across all entities, including reviewing invoices against contracts and purchase orders, coding them to the correct entity, facility, department, and GL account, and routing them for approval under the Delegation of Authority.
Monitor the AP queue daily and resolve unapproved invoices and card transactions.
Manage Ramp workflows for AP, cards, and reimbursements, including card controls, expense review, and offboarding.
Maintain the Ramp–NetSuite integration and mappings, resolve sync errors, and ensure intercompany expenses are coded to the correct entity.
Lead and review the work of an offshore AP team.
Prepare weekly payment runs based on due dates and vendor priority for treasury release.
Send expected disbursements to treasury for the weekly cash forecast.
Schedule recurring payments to prevent missed or duplicate payments; track IDR fee payments and resolve stale checks.
Capture early-payment discounts and card rebates where appropriate.
Serve as the main vendor contact for invoices, disputes, credits, and statement reconciliations.
Own vendor onboarding and the vendor master, including W-9s, TIN matching, OIG exclusion screening, and duplicate cleanup.
Prepare and file annual 1099s and manage unclaimed property for uncashed checks.
Complete AP close on schedule, including cutoff, accruals, prepaids, AP subledger-to-GL reconciliation, and monthly Ramp-to-NetSuite reconciliation.
Report AP aging, past-due amounts, processing time, and DPO to the Controller, VP, and corporate PE team, and support the annual audit.
Enforce controls, including duplicate-payment checks, independent call-back verification of vendor bank changes, and documented support for every payment.
Keep AP policies and procedures current and drive automation in Ramp and NetSuite.