Sr. Manager - Accounts Payable
About The Position
We are seeking a strategic and hands-on finance operations leader to oversee Accounts Payable and expense management for a rapidly growing, private equity–backed healthcare management organization. This role will lead centralized payment operations across more than 200 healthcare locations nationwide and support a workforce of over 2,500 employees. The Manager/Sr Mgr will be responsible for managing high-volume vendor payments and leading financial systems in a high-growth, acquisition-driven environment. This leader will play a critical role in scaling finance operations, integrating newly acquired practices, and ensuring strong governance and internal controls across the organization.
Requirements
- 5-7+ years of progressive experience in accounting, accounts payable or finance operations
- 3+ years managing high-performing teams in a high-volume transactional environment
- Demonstrated experience overseeing Accounts Payable at scale
- Experience communicating and partnering with senior leadership, physicians, or executive stakeholders
- Proven experience building, developing, and scaling finance operations teams
- Demonstrated experience leading system implementations or migrations, including ownership of timelines, testing, and go-live execution
- Experience implementing AP automation
- Strong understanding of internal controls and audit readiness
- Advanced Excel and financial systems expertise
- Bachelor’s degree in Accounting, Finance, or related field required
Nice To Haves
- Experience managing high-volume AP operations (15,000+ monthly transactions preferred)
- Experience with ERP integrations preferred
- Prior experience in private equity–backed, high-growth, or acquisition-driven organizations strongly preferred
- Healthcare, multi-location, or multi-entity experience highly preferred
Responsibilities
- Lead the Accounts Payable organization, managing a team of 12 responsible for high-volume invoice processing, vendor payments, and expense management across the enterprise
- Oversee more than $140M in annual vendor and expense spend and 23,000+ monthly transactions across a multi-location healthcare platform
- Partner with accounting leadership to support month-end close activities, including journal entries and reconciliation of AP
- Lead the integration of acquisitions, bringing newly acquired practices onto centralized AP and treasury processes
- Drive process improvements and automation initiatives across AP and expense management; assist in leading the transition from AvidXchange to a new platform
- Manage vendor relationships including AvidXchange and Ramp
- Partner cross-functionally with clinical leadership, operations, HR, marketing, and executive leadership to support financial operations across the organization
- Maintain strong internal controls, payment approvals, and audit-ready financial processes aligned with best practices
- Establish KPIs and reporting for AP and treasury performance, including cycle time, payment accuracy, and working capital metrics
- Support external audits and internal audits
- Develop and mentor team members while building scalable organizational structure to support continued growth
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Number of Employees
101-250 employees
