Sr. Director, Treasury

Integrated Dermatology

About The Position

Integrated Dermatology is a leading national dermatology platform that partners with practices across the United States. Our culture is driven by people—collaborative, motivated professionals who work together to support our partner dermatologists and the patients they serve. We value accountability, teamwork, and a shared commitment to excellence as we continue to grow. The Sr. Director, Treasury Management will lead and execute the Company’s enterprise-wide treasury strategy for a rapidly growing, privately held dermatology MSO with a complex multi-entity structure. This role is critical to optimizing liquidity, strengthening banking and cash controls, supporting scalable growth through acquisitions, and enabling disciplined cash flow management across the management services organization and its affiliated professional entities. The Sr. Director will be responsible for designing and operating a best-in-class treasury function, completing the implementation and integration of a treasury management system (TMS), optimizing and potentially migrating banking relationships, and ensuring accurate, timely, and controlled cash movement across the platform. This role partners closely with Finance, Accounting, Tax, M&A, Operations, and external banking partners.

Requirements

Bachelor’s degree in Finance, Accounting, Economics, or related field.
10+ years of progressive treasury, cash management, or corporate finance experience, preferably in healthcare services, MSOs, or other multi-entity environments.
Demonstrated experience leading treasury transformation initiatives, including TMS implementation and banking optimization.
Strong understanding of cash forecasting, liquidity management, intercompany transactions, and treasury controls.
Experience working in private-equity-backed or leveraged environments with lender reporting requirements.
Advanced knowledge of banking products, payment rails, lockboxes, and cash concentration structures.
Strong collaboration skills with Accounting to ensure proper cash recording and reconciliation under US GAAP.

Nice To Haves

Experience in healthcare, provider services, or regulated industries with complex legal entity structures.
Prior experience supporting bank migrations or large-scale treasury system integrations.
Familiarity with CPOM considerations and MSO-affiliate financial relationships.
MBA, CFA, CTP, or similar professional certification.

Responsibilities

Treasury Strategy & Liquidity Management
Design and execute the Company’s overall treasury management strategy aligned with private equity ownership objectives, growth plans, and capital structure.
Optimize liquidity across the MSO and affiliated practices, ensuring sufficient cash availability while minimizing idle balances.
Establish cash positioning, pooling, and funding strategies to support operational needs, acquisitions, and integration activities.
Support debt compliance, lender reporting, and covenant-related cash requirements in coordination with the CFO.
Banking Structure & Partner Management
Evaluate, optimize, and manage the Company’s banking structure, including accounts, legal entity mapping, signatory controls, and services.
Lead the migration to a new primary banking partner, including RFP support, account transitions, system integrations, and change management.
Oversee relationships with banks, lockbox providers, payment processors, and other treasury service vendors.
Ensure banking structures support scale, acquisitions, and compliance with healthcare-specific regulatory and CPOM considerations.
Treasury Management System (TMS) Implementation & Optimization
Lead the completion, integration, and optimization of the Company’s treasury management application.
Ensure seamless integration between the TMS, ERP/accounting systems, and banking platforms.
Define and enforce standardized workflows for cash positioning, forecasting, payments, intercompany settlements, and reconciliations.
Drive automation, controls, and reporting enhancements to reduce manual processes and risk.
Cash Flow Forecasting & Analysis
Own short-term and long-term cash flow forecasting at the enterprise level, including MSO and affiliate entities.
Develop rolling forecasts (daily, weekly, monthly, and quarterly) to support operational decision-making and capital planning.
Partner with FP&A to align cash forecasts with budgets, growth initiatives, and acquisition activity.
Identify risks, timing issues, and opportunities related to cash flow variability across practices.
Intercompany & Affiliate Cash Management
Design and manage intercompany cash flows between the MSO and affiliated practices, including management fees, shared services charges, payroll funding, and other settlements.
Ensure intercompany transactions are executed timely, documented appropriately, and aligned with legal, tax, and CPOM requirements.
Partner with Accounting and Tax to ensure intercompany cash activity is recorded accurately and consistently across entities.
Support post-acquisition onboarding and integration of new practices into treasury and cash processes.
Daily Cash Operations & Controls
Oversee daily cash positioning, cash reconciliations, and exception management across all bank accounts.
Ensure timely and accurate reconciliation of cash activity, lockboxes, ACH, wires, credit cards, and other payment methods.
Establish and maintain strong internal controls over cash, including segregation of duties, approval matrices, and fraud prevention.
Ensure accounting teams receive accurate, timely cash data and that cash transactions are properly recorded under US GAAP.
Leadership, Governance & Cross-Functional Partnership
Build, lead, and develop a high-performing treasury team or function as the Company scales.
Serve as a key advisor to the CFO and executive leadership on liquidity, banking, and cash risk matters.
Partner closely with Accounting, FP&A, Tax, M&A, Legal, and Operations to support enterprise initiatives.
Support diligence, integration, and treasury setup for acquisitions and de novo practice launches.