Sr. Accounts Payable Manager

About the job

• 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
• Implement and enforce standardized invoice intake methods (EDI, OCR, vendor portal, email capture)
• Drive automation adoption and reduce manual invoice processing
• Invoice Matching & Controls
• Design and maintain structured 2-way and 3-way matching processes
• Support Procurement dept in mitigating improper PO usage (invoiced received no PO)
• Maintain approval matrix aligned to delegated authority levels
• Identify duplicate payments, split invoices, and fraudulent billing risks
• Support audit requirements and internal controls
• Accounting Accuracy & Accruals
• Ensure proper GL coding across practices, departments, and cost centers
• Apply understanding of healthcare expense classification (clinical supplies, lab services, rent, provider costs, MSO fees, etc.)
• 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

• 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
• Experience managing high-volume invoice processing
• Advanced Excel skills
• Healthcare, physician practice management, or MSO experience
• Experience implementing AP automation or workflow redesign
• Experience with NetSuite is preferred

Integrated Dermatology is a leading national dermatology practice that acquires and partners with dermatology practices across the United States. The culture at ID is a reflection of its people. Our environment is filled with hard-working, dynamic individuals who come together to ensure the success of our partner dermatologists.
The 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.