Accounts Payable Director

Company Description 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 Accounts Payable Director will lead the accounts payable, vendor payment, and travel & expense functions for a rapidly growing, multi-state, multi-entity healthcare organization operating under a managed services organization (MSO) structure. This leader will develop and operate a highly scalable, automated, and controlled procure-to-pay environment supporting physician practices and management company entities across the United States. This is a hands-on leadership role requiring an individual who can develop strategy while operating within the details of the function. The successful candidate will build and develop the AP team, establish policies and standard operating procedures, optimize Coupa and Coupa Pay, strengthen internal controls, and continuously identify opportunities to automate processes and increase transaction capacity without proportionately increasing headcount. The role owns the vendor payment lifecycle, including payment onboarding, validation and maintenance of banking and remittance information, payment-method setup, and payment readiness. Procurement retains responsibility for vendor sourcing, contracting, commercial terms, and overall vendor relationship management. The leader will also own the AP integration playbook for newly acquired practices and oversee the Company’s T&E program, including corporate cards, expense policy, spend controls, and practice/department budgets within a modern spend-management platform. Job Description AP Operations, Automation & Scalability Own the end-to-end invoice-to-pay and payment lifecycle across legal entities, physician practices, and locations. Serve as functional owner and subject-matter expert for Coupa/Coupa Pay, including invoice workflows, approval routing, supplier enablement, payment configuration, and settlement processes. Develop a highly automated AP operating model using PO-based purchasing, EDI/e-invoicing, OCR, supplier portals, automated matching, and exception-based processing. Establish measurable automation, productivity, service-level, and transaction-capacity targets; continually redesign processes to scale without corresponding increases in headcount. Design and maintain structured 2-way and 3-way matching, approval workflows, and exception management. Vendor Payment Onboarding & Master Data Own the financial/payment component of vendor onboarding following Procurement approval, including W-9s, banking instructions, remittance information, and required payment documentation. Establish and maintain the appropriate payment method for each supplier, prioritizing virtual card and ACH where appropriate and using checks by exception. Maintain strong vendor-master controls, including segregation of duties, independent validation of banking changes, duplicate-vendor controls, and fraud-prevention procedures. Partner with Treasury on payment runs, cash requirements, positive pay, ACH controls, settlement, stale checks, and payment optimization. Acquisition & Practice Integration Own and maintain a standardized AP integration playbook for acquisitions and newly integrated practices. Lead pre-close and post-close AP readiness, including vendor inventories, outstanding invoices/liabilities, recurring payments, open POs, approval authorities, payment methods, banking information, and legacy AP processes. Establish vendors and payment workflows within Coupa and the appropriate legal entity/TIN and ensure appropriate cutoff between seller obligations and post-close obligations. Develop Day 1, 30-day, 60-day, and 90-day AP integration milestones; proactively communicate risks, decisions, dependencies, and…

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