Accounts Payable Manager in at Symphony Spine and Pain

Position Summary

The Accounts Payable Manager is responsible for leading and optimizing the full-cycle accounts payable function for a growing healthcare management services organization (MSO) supporting physician practices and ambulatory surgery centers (ASC) across multiple states. This role oversees vendor management, invoice processing, payment operations, expense controls, AP staff supervision, and compliance with healthcare-specific financial practices.

The ideal candidate combines strong operational AP leadership with healthcare industry experience, multi-entity accounting expertise, and the ability to improve processes within a fast-paced, high-growth environment.

This role requires strong collaboration with operations leaders, clinical administrators, purchasing teams, revenue cycle, and executive finance leadership across New Jersey, Florida, Arizona, and Georgia.

Key Responsibilities

Accounts Payable Operations

• Oversee end-to-end AP processing for multiple entities, clinics, and ASCs across four states
• Ensure timely and accurate invoice coding, approvals, and payment processing
• Manage weekly payment cycles including ACH, wire, check, and virtual card payments
• Monitor vendor aging and maintain strong cash flow discipline
• Reconcile AP subledger to general ledger monthly
• Ensure compliance with organizational purchasing and approval policies

Leadership & Staff Management

• Supervise and mentor AP specialists and offshore/shared-service resources as applicable
• Establish performance standards, workflows, and accountability measures
• Assist in hiring, training, and development of AP team members
• Create cross-training plans to ensure operational continuity

Healthcare & Multi-Entity Compliance

• Manage AP operations across physician practices, management companies, and ASC entities
• Ensure accurate treatment of medical supply vendors, physician reimbursements, equipment leases, and facility-related expenses
• Support 1099 preparation and annual vendor compliance requirements
• Maintain compliance with internal controls and audit standards

Vendor & Stakeholder Management

• Build strong relationships with vendors, facility administrators, and operational leadership
• Resolve escalated vendor disputes and payment discrepancies
• Partner with procurement and operations teams to improve purchasing workflows and spend visibility

Process Improvement & Systems

• Identify automation opportunities and improve AP efficiency metrics
• Support ERP optimization and workflow enhancements
• Develop KPI reporting related to invoice turnaround time, aging, accruals, and payment accuracy
• Participate in integrations related to acquisitions and new facility onboarding

Month-End & Audit Support

• Support monthly close process including accruals, prepaid amortization and AP analytics
• Assist external auditors and tax advisors with AP-related requests
• Maintain organized documentation and audit-ready records

Qualifications

Required

• Bachelor’s degree in Accounting, Finance, or Business Administration or comparable experience
• 5–8+ years of progressive accounts payable experience
• 2–4+ years of AP leadership or supervisory experience
• Experience managing AP across multiple legal entities and/or multiple states
• Strong understanding of accrual accounting and AP controls
• Advanced Excel proficiency
• Experience with ERP/accounting systems such as NetSuite, Sage Intacct, Microsoft Dynamics, Workday, Oracle, or similar

Preferred

• Healthcare, physician practice, ASC, hospital, or MSO experience strongly preferred
• Experience in high-growth or private equity-backed healthcare organizations
• Knowledge of healthcare vendor structures and medical supply purchasing
• Experience with AP automation platforms
• Shared services or centralized AP experience

Core Competencies

• Strong organizational and prioritization skills
• High attention to detail and accuracy
• Process-oriented mindset
• Ability to manage competing deadlines
• Leadership and team development
• Vendor diplomacy and conflict resolution
• Analytical and systems-oriented thinking
• Ability to work independently in a remote environment