Healthcare, physician practice management, or MSO experience
Experience implementing AP automation or workflow redesign
Experience with NetSuite is preferred
Responsibilities
Own and optimize the invoice-to-pay cycle across multiple legal entities and practice locations
Engage in the configuration and implementation of Coupa and Coupa Pay
Administer Coupa, including invoice routing and payment methods
Implement standardized invoice intake methods
Drive automation adoption to reduce manual processing
Design and maintain structured 2-way and 3-way matching processes
Support Procurement in mitigating improper PO usage
Maintain approval matrix aligned to authority levels
Identify duplicate payments and fraudulent billing risks
Support audit requirements and internal controls
Ensure proper GL coding across practices and departments
Partner with Accounting for accurate monthly accruals
Support month-end close activities
Maintain vendor W-9 compliance and support 1099 preparation
Manage vendor relationships and resolve escalations
Partner with Treasury on payment runs and cash optimization
Improve payment terms and reduce rush payments
Monitor aging and unapplied credits
Supervise and develop 2-3 AP Specialists
Establish productivity and accuracy KPIs
Train staff on invoice-to-pay workflow and coding standards
Create SOPs for scalability
Collaborate with Procurement to increase PO adoption
Support new practice integrations and acquisitions
Work with Finance leadership on spend visibility
Benefits
Full-time position
Remote work option available
Opportunity for professional development and training
Engagement in a growing multi-entity healthcare platform
Involvement in implementing innovative AP automation solutions
Full Job Description
Sr Accounts Payable Manager will lead invoice-to-pay cycle for a growing multi-entity healthcare platform operating under a managed services organization (MSO) structure. This role is responsible for ensuring accurate, timely, and controlled processing of vendor invoices across multiple physician practices and management company entities while implementing scalable automation and internal control best practices.
The role requires strong operational accounting knowledge, hands-on experience with Coupa, and the ability to design and enforce structured approval workflows, 2-way and 3-way matching procedures, and accrual accuracy in a high-volume, multi-location environment.
Job Description
Procure-to-Pay Operations & Automation
Own and optimize the invoice-to-pay cycle across multiple legal entities and practice locations
Active engagement in the configuration and implementation of Coupa and Coupa Pay
Administer Coupa (or similar platform) including invoice routing, payment methods and settlement through Coupa Pay
Partner with Accounting to ensure accurate monthly accruals and cutoff
Support month-end close including unreceived goods, GRNI, and open invoice analysis
Maintain vendor W-9 compliance and support 1099 preparation
Ensures the AP system is properly safeguarded and maintains the highest level of integrity across all master records (i.e., vendor accounts, invoices, credit memos, etc.).
Vendor & Payment Management
Manage vendor relationships and resolve escalations
Partner with Treasury on payment runs, timing, and cash optimization
Improve payment terms and reduce rush/exception payments
Monitor aging, unapplied credits, and stale checks
Monthly statement reconciliation to ensure all rebates, credits, discounts are properly recorded
Team Leadership
Supervise and develop 2-3 AP Specialists
Establish productivity and accuracy KPIs
Train staff on invoice-to-pay workflow, coding standards, and healthcare nuances
Create SOPs and documentation for a scalable organization
Cross-Functional Partnership
Work with Procurement to increase PO adoption
Support new practice integrations and acquisitions
Collaborate with Finance leadership on spend visibility and reporting
Work closely with Operations leaders to answer questions related to vendor invoices
Qualifications
7+ years Accounts Payable experience, including 3+ years in a supervisory role
Experience in multi-entity or multi-location environment
Hands-on Coupa experience
Strong knowledge of 2-way/3-way matching and approval workflows
Understanding of accrual accounting and month-end close support
