Treasury Manager

Altus Community Healthcare • Houston, TX

10d • Hybrid

About The Position

A private equity-backed, multi-entity emergency care group is seeking a Treasury Manager to oversee cash, liquidity, forecasting, and lender relationships. The role manages daily treasury operations and the asset-based credit facility, and provides leadership and private equity partners with a forward-looking view of cash. The Treasury Manager works closely with sponsor-level and corporate treasury teams to align group-wide cash, funding, and lender decisions.

Requirements

• Bachelor’s degree in finance or accounting.
• At least 5 years of experience in treasury, corporate finance, or banking.
• Hands-on experience with an asset-based facility, including borrowing base, covenants, and lender reporting.
• Track record building 13-week cash forecasts in a multi-entity group.
• Strong Excel skills.
• Experience with NetSuite or a similar ERP.
• Clear communication with lenders, senior leadership, and sponsor-level treasury and finance teams.

Nice To Haves

• CTP certification.
• Healthcare receivables or revenue cycle exposure.
• Experience in a private equity-backed company.
• Treasury management system or bank API implementation experience.

Responsibilities

• Prepare the daily cash position and manage liquidity across entities to cover payroll, vendors, and debt service.
• Own rolling 13-week and 12-month cash forecasts by entity, incorporating payer, IDR, and personal injury receipt timing; explain weekly variances and run downside scenarios.
• Maintain the cash calendar and align payment runs with available cash.
• Report weekly and monthly on cash, liquidity, availability, and forecast accuracy to finance leadership and private equity partners.
• Manage credit-facility draws and repayments and prepare borrowing base and covenant compliance certificates.
• Maintain the debt schedule and compliance calendar for reporting and notice deadlines; test covenants and baskets before distributions.
• Serve as the day-to-day contact for banks and lenders and support amendments, renewals, and new financing.
• Manage bank accounts, lockboxes, sweeps, and control agreements; review bank fees and banking services.
• Fund each entity and coordinate intercompany transfers, settlements, and equity movements with the Controller, corporate treasury, and the private equity sponsor’s treasury team.
• Monitor daily receipts from payers, patients, and personal injury settlements and work with Revenue Cycle to match remittances and post cash promptly.
• Fund patient and payer refunds and manage unclaimed property.
• Set up treasury for new facilities and acquisitions.
• Release payments within the Delegation of Authority under dual authorization.
• Maintain treasury policies and fraud controls, including positive pay, ACH debit blocks, and fraud response.
• Lead and review the work of an offshore team handling cash posting, payments, and reporting.
• Improve automation through bank feeds into NetSuite and treasury tools, and support the external audit.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level