Director, Treasury (51108)

NATIONAL DISTRIBUTION & CONTRACTING•Nashville, TN

9d•Hybrid

About The Position

The Director of Treasury is a senior finance leader responsible for enterprise-wide liquidity strategy, working capital optimization, capital structure management, and treasury risk governance for the healthcare system. This role positions treasury as a strategic capability that supports financial resilience, capital stewardship, and long-term organizational growth. The Director partners closely with the CFO, executive leadership, operations, commercial, supply chain, and external financial partners to drive cash flow predictability, optimize capital deployment, strengthen balance sheet performance, and ensure disciplined governance across all cash-related activities. The role serves as a key advisor on capital planning, debt management, and financial risk mitigation.

Requirements

Bachelor’s degree in Finance, Accounting, Business Administration, or related field required.
8–12+ years of progressive finance and treasury leadership experience, including enterprise liquidity, working capital management and cash management
5+ years of people leadership experience within complex, multi-entity organizations
Advanced expertise in treasury strategy, liquidity management, capital structure, and working capital optimization.
Deep understanding of AR and AP processes and controls.
Ability to operate effectively at both strategic and execution levels in a complex healthcare environment.
Executive presence with the ability to influence, advise, and challenge senior stakeholders.
Advanced analytical, communication, and stakeholder-management skills.
Proficiency with ERP systems (e.g., Oracle, SAP, Workday) and treasury platforms.

Nice To Haves

MBA, Master’s in Finance, CPA, or CTA (certified treasury professional) strongly preferred.
Healthcare industry experience preferred.

Responsibilities

Lead execution and ongoing refinement of treasury strategy aligned with organizational growth objectives, capital plans, and risk tolerance.
Serve as a strategic advisor to the CFO and executive leadership on liquidity planning, capital structure, debt capacity, and cash deployment decisions.
Lead enterprise-wide cash flow forecasting, liquidity modeling, and scenario analysis to support strategic planning, investment prioritization, and stress testing.
Oversee short- and long-term liquidity management, including cash, credit facilities, and investment vehicles.
Manage debt service, covenant compliance, and lender and bond trustee relationships, support refinancing, new debt issuance, and capital market transactions as applicable.
Govern investment of excess cash in accordance with board-approved investment policies, balancing yield, liquidity, and risk.
Provide enterprise-level oversight of cash inflows and outflows, ensuring strong coordination across Revenue Cycle, Supply Chain, and Finance.
Monitor and analyze key working capital metrics, including days cash on hand, cash conversion trends, and liquidity buffers.
Identify systemic barriers to cash realization and sponsor cross-functional initiatives to improve end-to-end revenue-to-cash and procure-to-pay performance.
AR and AP responsibilities focused on shared services governance, cash optimization, and controls, in coordination with Revenue Cycle and Procurement leadership.
Lead the strategy, design, and continuous improvement of shared services operations for AR, AP, and Treasury.
Standardize processes, policies, and controls across multiple entities, facilities, and service lines.
Establish service level agreements (SLAs), performance metrics, and reporting to ensure timely, accurate, and customer-focused service.
Support process improvements to enhance cash flow while maintaining compliance with healthcare billing regulations.
Ensure timely and accurate payments while maximizing payment terms and early-pay discounts.
Ensure accurate posting of patient, payer, and other receivables.
Oversee vendor onboarding, W-9 management, 1099 reporting, and compliance with tax and regulatory requirements.
Partner with Supply Chain and Procurement to improve invoice matching, automation, and vendor relationships.
Build, mentor, and manage high-performing teams, including managers and supervisors.
Ensure compliance with GAAP, healthcare regulations, internal policies, and audit requirements.
Establish and oversee treasury risk management practices, including fraud prevention, payment security, counterparty exposure, and internal controls.
Support internal and external audits; proactively remediate findings and strengthen treasury governance frameworks.
Prepare and present executive level reporting on liquidity, cash forecasts, capital deployment, and treasury risk exposures.
Translate complex financial data into clear, actionable insights for senior leadership and the board.
Lead treasury technology strategy, including ERP, Treasury Management Systems (TMS), banking platforms, and payment solutions.
Champion automation, straight-through processing, and advanced analytics to enhance visibility, control, and scalability.
Drive continuous improvement initiatives using Lean, Six Sigma, or similar methodologies.