Integrated Dermatology · 20 hours ago
Sr. Director, Treasury
United States
Full-time
Remote
Director/Executive
10+ years expIntegrated Dermatology is a leading national dermatology platform that partners with practices across the United States. The Sr. Director of Treasury Management will lead the company's treasury strategy, optimizing liquidity and cash flow management across the organization while collaborating with various departments and external partners.
Health CareMedical
Responsibilities
Design and execute the Company’s 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
Evaluate, optimize, and manage the Company’s 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
Lead the completion, integration, and optimization of the Company’s 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
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
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
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
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
Qualification
Required
Bachelor's 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
Company
Integrated Dermatology
Integrated Dermatology Group is a medical practice company specializing in dermatological care.
501-1000 employees
H1B Sponsorship
Integrated Dermatology has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2023 (1)
Funding
Current Stage
Late StageLeadership Team
Tushar Ramani
Chief Executive Officer
Nicholas Anguish
President
Recent News
Company data provided by crunchbase