Sr. Director, Treasury

Key Responsibilities

Treasury Strategy & Liquidity Management

• Design and execute the Companys overall treasury management strategy aligned with private equity ownership objectives growth plans and capital structure.
• Optimize liquidity across the MSO and affiliated practices ensuring sufficient cash availability while minimizing idle balances.
• Establish cash positioning pooling and funding strategies to support operational needs acquisitions and integration activities.
• Support debt compliance lender reporting and covenant-related cash requirements in coordination with the CFO.

Banking Structure & Partner Management

• Evaluate optimize and manage the Companys banking structure including accounts legal entity mapping signatory controls and services.
• Lead the migration to a new primary banking partner including RFP support account transitions system integrations and change management.
• Oversee relationships with banks lockbox providers payment processors and other treasury service vendors.
• Ensure banking structures support scale acquisitions and compliance with healthcare-specific regulatory and CPOM considerations.

Treasury Management System (TMS) Implementation & Optimization

• Lead the completion integration and optimization of the Companys treasury management application.
• Ensure seamless integration between the TMS ERP/accounting systems and banking platforms.
• Define and enforce standardized workflows for cash positioning forecasting payments intercompany settlements and reconciliations.
• Drive automation controls and reporting enhancements to reduce manual processes and risk.

Cash Flow Forecasting & Analysis

• Own short-term and long-term cash flow forecasting at the enterprise level including MSO and affiliate entities.
• Develop rolling forecasts (daily weekly monthly and quarterly) to support operational decision-making and capital planning.
• Partner with FP&A to align cash forecasts with budgets growth initiatives and acquisition activity.
• Identify risks timing issues and opportunities related to cash flow variability across practices.

Intercompany & Affiliate Cash Management

• Design and manage intercompany cash flows between the MSO and affiliated practices including management fees shared services charges payroll funding and other settlements.
• Ensure intercompany transactions are executed timely documented appropriately and aligned with legal tax and CPOM requirements.
• Partner with Accounting and Tax to ensure intercompany cash activity is recorded accurately and consistently across entities.
• Support post-acquisition onboarding and integration of new practices into treasury and cash processes.

Daily Cash Operations & Controls

• Oversee daily cash positioning cash reconciliations and exception management across all bank accounts.
• Ensure timely and accurate reconciliation of cash activity lockboxes ACH wires credit cards and other payment methods.
• Establish and maintain strong internal controls over cash including segregation of duties approval matrices and fraud prevention.
• Ensure accounting teams receive accurate timely cash data and that cash transactions are properly recorded under US GAAP.

Leadership Governance & Cross-Functional Partnership

• Build lead and develop a high-performing treasury team or function as the Company scales.
• Serve as a key advisor to the CFO and executive leadership on liquidity banking and cash risk matters.
• Partner closely with Accounting FP&A Tax M&A Legal and Operations to support enterprise initiatives.
• Support diligence integration and treasury setup for acquisitions and de novo practice launches.

Qualifications :

Required

• Bachelors degree in Finance Accounting Economics or related field.
• 10 years of progressive treasury cash management or corporate finance experience preferably in healthcare services MSOs or other multi-entity environments.
• Demonstrated experience leading treasury transformation initiatives including TMS implementation and banking optimization.
• Strong understanding of cash forecasting liquidity management intercompany transactions and treasury controls.
• Experience working in private-equity-backed or leveraged environments with lender reporting requirements.
• Advanced knowledge of banking products payment rails lockboxes and cash concentration structures.
• Strong collaboration skills with Accounting to ensure proper cash recording and reconciliation under US GAAP.

Preferred

• Experience in healthcare provider services or regulated industries with complex legal entity structures.
• Prior experience supporting bank migrations or large-scale treasury system integrations.
• Familiarity with CPOM considerations and MSO-affiliate financial relationships.
• MBA CFA CTP or similar professional certification.

Key Competencies

• Strategic and hands-on treasury leadership
• Systems and process optimization mindset
• Strong internal controls and risk management orientation
• Ability to operate in a fast-paced acquisitive environment
• Executive-level communication and stakeholder management
• Detail-oriented with the ability to scale processes efficiently

Additional Information :

Job Type:

• Full-time

Integrated Dermatology and its entities provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

This policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.

Remote Work :

Yes

Employment Type :

Full-time