Senior Accounts Payable Specialist

Job Summary At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs. Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future. Job Description We are seeking a highly organized, systems-driven Senior Accounts Payable Specialist to support a fast-growing, high-volume finance environment. This role is heavily focused on end-to-end AP operations, transaction management, vendor oversight, reconciliations, and cross-functional coordination across multiple accounting and procurement platforms. You will act as the primary administrator for our corporate card and expense platform, Ramp, while bridging the gap between day-to-day transaction processing and month-end GL accuracy across our core systems (Sage Intacct, NetSuite, and Coupa). The ideal candidate thrives in a fast-paced environment, can manage large transaction volumes with impeccable accuracy, and brings strong experience navigating multiple financial systems simultaneously. Beyond the numbers, you will lead internal enablement and policy enforcement—acting as a proactive communicator who guides employees through expense guidelines, actively audits spend, and diligently tracks down missing receipts to ensure our books remain airtight. Key Responsibilities T&E, Corporate Card & Policy Compliance (Ramp) Spend Auditing: Review and audit all employee spend within Ramp to ensure compliance with established company travel and expense policies. Proactive Receipt Collection: Monitor transactions and actively reach out to employees to request missing receipts, memos, or required documentation. Policy Communication: Serve as the internal point of contact for expense policies, clearly communicating guidelines and helping employees understand "what fits" within company compliance. Platform Ownership: Issue, manage, and monitor virtual and physical corporate cards to employees and vendors via Ramp. System Optimization: Assist in refining Ramp workflows, submission policies, and mapping to maximize automation and efficiency. Full-Cycle Accounts Payable & Payments Invoice & Workflow Management: Review, code, and route invoices for proper approval, ensuring seamless integration between Coupa and Sage Intacct / NetSuite. Payment Execution: Manage and oversee all outgoing payments, including ACH, wires, manual check payments, and virtual card settlements. Vendor Management: Handle new vendor onboarding, maintain precise system setups, issue annual 1099 reporting, and serve as the main point of contact for vendor inquiries. GL, Reconciliation & Month-End Support Ledger Accuracy: Reconcile the AP sub-ledger, corporate card statements, and bank accounts to ensure all bills and payments are accurately posted. Month-End Close: Assist with month-end activities, including preparing expense accruals and reconciling balance sheet accounts. Discrepancy Resolution: Investigate and resolve billing discrepancies by reconciling vendor accounts against monthly statements. Process Improvement & Enablement Policy & Documentation: Review existing AP/T&E policies. Evaluate, recommend, and implement changes to boost efficiency and internal controls. Maintain up-to-date process documentation. Internal Training: Act as the internal champion for AP and T&E processes, providing clear training and support to team members across all levels of the company. Required Experience & Qualifications Minimum Qualifications: Experience: 3–5 years of progressive, high-volume accounts payable and expense management experience. Education: Bachelor’s degree in Finance, Accounting, or a related field (or equivalent hands-on experience). Tech Stack Expertise: * Must-Have: Hands-on experience with Coupa and Sage Intacct (experience with NetSuite is a strong plus). Highly Preferred: Prior experience administering Ramp (or a similar modern spend management platform like Brex/Navan). Strong understanding of AP processes, invoice workflows, vendor management, reconciliations, and month-end close procedures. Proven ability to manage large transaction volumes while maintaining exceptional attention to detail and accuracy. Experience working across multiple systems simultaneously in fast-paced, deadline-driven environments. Strong analytical, organizational, and problem-solving skills. Excellent communication and cross-functional collaboration abilities. Proficiency in Excel including pivot tables, VLOOKUP/XLOOKUP, and data analysis functions. Preferred Qualifications: 5+ years of full-cycle Accounts Payable experience in high-volume, fast-paced environments. Hands-on experience with AP automation and ERP systems including Ramp, NetSuite, Coupa, Sage Intacct, SAP, or similar platforms. Strong understanding of invoice processing, 2-way and 3-way matching, purchase orders, vendor management, expense reporting, and payment processing. Experience processing high transaction volumes with strong accuracy and attention to detail. Ability to manage multiple priorities, deadlines, entities, and systems simultaneously. Experience supporting month-end close activities including accruals, reconciliations, and AP aging analysis. Proficient in Microsoft Excel including pivot tables, VLOOKUP/XLOOKUP, filtering, and reconciliations. Strong problem-solving skills with the ability to investigate discrepancies and independently resolve issues. Excellent organizational, communication, and cross-functional collaboration skills. Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred. Experience in healthcare, technology, logistics, manufacturing, or other high-growth industries is a plus. Comfortable adapting to new systems, process changes, and automation initiatives Additional Information Additional Physical Job Requirements Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions. Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship. Salary and Benefits Salary Range: $82,000-102,000 Commission Eligible: No Travel: No Location Requirement: Alto is limited to individuals residing in the following states: Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington (WA), and Wisconsin. Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. Alto Pharmacy, Fuze Health, LetsGetChecked, and Fuze Care Services can not take over, transfer, or sponsor any visa type at this time. Benefits: Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month. Application Deadline: July 31st, 2026. Application deadline may be extended as needed. #LI-Remote Equal Opportunity Employer Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at View email address on click.appcast.io. Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company. Use of Automated Decision Tools Fuze Health recruiters and hiring managers may use automated decision tools to help identify candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us at View email address on click.appcast.io. Privacy Notice To learn about Fuze Health’s privacy practices, including compliance with applicable privacy laws, please read our Privacy Notice for Job Applicants. At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs. Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.