Manager, Accounts Payable

Overview

A healthcare-focused organization is seeking an Accounts Payable Manager to oversee the accounts payable function across multiple entities, including vendor payments, corporate card and expense programs, and contractor payments. This role can be performed remotely or onsite at the headquarters in Des Moines, IA. The position reports to the Accounting department and involves managing a high-volume, multi-entity, 50-state operation.

Responsibilities

• Manage end-to-end accounts payable processes across all entities, including invoice intake, general ledger coding, approval routing, and payment runs, ensuring timely and accurate vendor payments.
• Serve as the primary contact for internal and vendor inquiries related to accounts payable, resolving issues promptly and professionally.
• Complete and stabilize system transitions by addressing manual process gaps.
• Develop and document repeatable AP workflows, approval matrices, controls, and standard operating procedures, including playbooks for onboarding new entities and acquisitions.
• Drive automation and process improvements to reduce manual tasks and increase efficiency.
• Oversee the corporate card and expense program, including coding review, spend policy enforcement, limit management, reconciliation, and month-end true-up.
• Manage scheduled payment runs across multiple entities and bank accounts using various payment methods (ACH, check, wire, virtual card), coordinating cash-out timing with Accounting.
• Maintain vendor master data and onboarding processes, including W-9 collection, banking validation, and fraud prevention controls such as callback verification for banking changes.
• Handle intercompany accounts payable and allocations across the entity group, including high-volume vendor activity at pharmacy and laboratory subsidiaries.
• Lead and manage the AP team, setting and tracking key performance indicators such as days payable outstanding, invoice cycle time, percent paid on time, and inquiry response time.
• Support the accounts payable close process, including accruals, reconciliations, aging, reporting, and assist with monthly and quarterly close and external audit requests.
• Perform other duties as assigned.

Required Qualifications

• Bachelor's degree in Accounting, Finance, or a related field.
• 5–8 years of progressive accounts payable experience, including direct team leadership or management.
• Hands-on experience managing AP in a high-volume, multi-entity environment.
• Deep knowledge of the procure-to-pay cycle, three-way matching, general ledger coding, and AP internal controls.
• Experience leading or supporting AP through systems implementation or migration.
• Proficiency with NetSuite or a comparable ERP system.
• Excellent communication skills and a strong customer-service orientation.

Preferred Qualifications

• Accounts payable experience at a public company, high-growth, or technology company.
• Familiarity with tools such as Ramp, Zip, Bill.com, Coupa, or similar procure-to-pay platforms.
• Experience developing AP processes, automation, and acquisition/onboarding playbooks.
• Exposure to SOX compliance, pre-IPO readiness, and external audit support.
• Background in healthcare, telehealth, pharmacy, or laboratory services, with familiarity in PC/MSO structures.

Compensation & Benefits

• Medical, dental, and vision insurance plans.
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Flexible paid time off.
• 401(k) plan with company match.
• Life insurance and pet insurance.

Location

Remote or onsite at headquarters in Des Moines, Iowa.