Director of Treasury Operations

Integrative Emergency Services•Dallas, TX

3d•Hybrid

About The Position

Integrative Emergency Services, LLC (IES) is seeking a Director of Treasury Operations to lead treasury operations across IES and its affiliated entities. The role establishes and manages cash management practices, liquidity forecasts, banking relationships, and controls to support financial obligations and business priorities. The Director advises the Chief Operating Officer on liquidity risks, funding needs, and opportunities to improve cash visibility and operational efficiency, and partners with Accounting, Revenue Cycle, and Payroll on accurate cash reporting, receipt and payment processes, and timely funding of obligations. The position has supervisory responsibilities, including interviewing, hiring, training, assigning and directing work, evaluating performance, addressing complaints, and resolving problems. It is based in a hybrid format at the corporate office in Dallas, Texas.

Requirements

Bachelor’s degree in Finance, Accounting, or a related field.
At least eight years of progressive experience in treasury, cash management, or corporate finance, including hands-on cash forecasting, bank reconciliations, banking relationships, and multi-entity cash management.
Demonstrated experience leading a treasury function or significant treasury initiatives, including establishing controls, advising senior leadership, and coordinating execution across departments.
Advanced knowledge of cash management, liquidity forecasting, banking services, payment systems, and treasury controls in a multi-entity environment.
Ability to translate business priorities and financial obligations into treasury strategies, funding recommendations, and operating plans.
Strong financial modeling and analytical skills, including evaluation of forecast assumptions, scenario and variance analyses, and identification of liquidity risks.
Ability to establish and assess internal controls, identify control gaps, and lead timely corrective action.
Strong understanding of bank reconciliations, intercompany funding and settlements, and the relationship between treasury activity and financial reporting.
Ability to communicate complex financial information, risks, and actionable recommendations clearly to executive leadership and other stakeholders.
Ability to lead cross-functional initiatives, establish accountability, and resolve competing priorities, including without direct supervisory authority.
Strong relationship management and negotiation skills with financial institutions and treasury service providers.
Advanced proficiency with Microsoft Excel and experience using ERP systems, banking platforms, and treasury management technology.
Ability to evaluate and implement process improvements and automation while maintaining effective controls.
Sound independent judgment when making time-sensitive decisions involving liquidity, funding, and payment security.
Excellent organizational skills and ability to manage competing cash, payment, and reporting deadlines in a fast-paced environment.
Ability to exercise discretion and maintain confidentiality of sensitive financial and business information.

Nice To Haves

Certified Treasury Professional (CTP), Certified Public Accountant (CPA), or Master of Business Administration (MBA).
Healthcare industry experience, ideally within physician services or a multi-site provider group, including familiarity with payer remittance flows, electronic funds transfers, electronic remittance advice, 835 files, and revenue cycle cash posting.
Experience implementing treasury management systems or automating cash management processes.
Experience supporting lender relationships, credit facilities, and debt covenant reporting.

Responsibilities

Lead treasury operations across IES and affiliated entities, setting priorities, operating standards, and performance measures for cash management, liquidity forecasting, banking services, and treasury controls.
Direct daily cash positioning and liquidity management across operating accounts and entities to ensure funding for provider payroll, vendor payments, and contractual obligations.
Develop and refine 13-week and 12-month cash forecasts; evaluate assumptions, variances, and funding scenarios; explain significant variances to the Chief Operating Officer; and recommend responses to projected shortfalls or excess liquidity.
Manage line-of-credit activity and short-term investments within approved policies and delegated authority, escalating significant funding needs, risks, and exceptions to the Chief Operating Officer.
Direct intercompany funding, transfers, and settlements with Accounting to support entity obligations and accurate financial reporting.
Establish, implement, and monitor treasury policies and controls for bank access, signing authority, payment approvals, dual approval, segregation of duties, and fraud prevention.
Lead banking and treasury service provider relationships, including evaluating and negotiating services, fees, and account structures within delegated authority; lead requests for proposals and banking consolidation efforts when appropriate.
Oversee bank account administration, including account openings and closures, authorized signer changes, access reviews, and maintenance of a complete account inventory.
Oversee payment execution and funding processes, including approval workflows and payment calendars, to ensure timely, accurate, and secure disbursements across entities.
Oversee lockbox, remote deposit, ACH, electronic funds transfer, and remittance processes; work with Revenue Cycle and Accounting to improve cash visibility and resolve receipt and cash-posting issues.
Oversee timely completion and review of monthly bank reconciliations and resolution of unidentified or unapplied cash, with clear preparation, review, and approval responsibilities and appropriate segregation of duties.
Lead treasury fraud prevention and response activities, including positive pay, ACH blocks and filters, payment-change verification, and escalation of suspected fraudulent activity.
Provide executive leadership with regular reporting on cash forecasts, liquidity trends, treasury performance measures, and emerging risks, along with actionable recommendations.
Coordinate treasury support for external audits, lender reporting, debt covenant monitoring, and applicable compliance requirements; escalate identified issues and support corrective action.
Lead cross-functional treasury initiatives with Accounting, Revenue Cycle, Payroll, and other stakeholders, setting responsibilities, resolving barriers, and monitoring completion.
Direct treasury process improvement and automation initiatives that strengthen cash visibility, operational efficiency, and control effectiveness.
Carry out supervisory responsibilities in accordance with applicable guidelines, policies, procedures, and laws, including interviewing, hiring, training, planning and assigning work, appraising performance, rewarding and disciplining employees, addressing complaints, and resolving problems.