Director of Treasury Operations

Job Description

Job Description

DISCOVER IES
Integrative Emergency Services (“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit. 

POSITION SUMMARY
Integrative Emergency Services, LLC ("IES") is looking for a  Director of Treasury Operations to lead treasury operations across IES and its affiliated entities. This role focuses on establishing cash management practices, liquidity forecasts, banking relationships, and controls that support financial obligations and business priorities. This Director will advise the Chief Operating Officer on liquidity risks, funding needs, and opportunities to improve cash visibility and operational efficiency. The Director will partner with Accounting, Revenue Cycle, and Payroll to ensure accurate cash reporting, effective receipt and payment processes, and timely funding of obligations. Work will be done in a hybrid format at the Corporate office at 4835 LBJ Fwy, Dallas, TX, 75244.

ESSENTIAL DUTIES AND RESPONSIBILITIES  The responsibilities listed here represent the majority of the role but are not all-inclusive; other duties may be assigned.

• Lead treasury operations across IES and its affiliated entities, establishing priorities, operating standards, and performance measures for cash management, liquidity forecasting, banking services, and treasury controls.
• Direct daily cash positioning and liquidity management across operating accounts and entities to ensure sufficient funding for provider payroll, vendor payments, and other contractual obligations.
• Own the development and ongoing refinement of 13-week and 12-month cash forecasts; evaluate assumptions, variances, and funding scenarios; explain significant variances to the Chief Operating Officer; and recommend actions to address projected shortfalls or excess liquidity.
• Manage line-of-credit activity and short-term investments within approved policies and delegated authority, escalating significant funding needs, risks, and exceptions to the Chief Operating Officer.
• Direct intercompany funding, transfers, and settlement activities in partnership with Accounting to support entity obligations and accurate financial reporting.
• Establish, implement, and monitor treasury policies and controls governing bank access, signing authority, payment approvals, dual approval, segregation of duties, and fraud prevention.
• Lead banking and treasury service provider relationships, including evaluating and negotiating services, fees, and account structures within delegated authority; lead requests for proposals and banking consolidation efforts when appropriate.
• Oversee bank account administration, including account openings and closures, authorized signer changes, access reviews, and maintenance of a complete account inventory.
• Oversee payment execution and funding processes, including approval workflows and payment calendars, to ensure timely, accurate, and secure disbursements across entities.
• Oversee lockbox, remote deposit, ACH, and electronic funds transfer and remittance processes; partner with Revenue Cycle and Accounting to improve cash visibility and resolve receipt and cash-posting issues.
• Oversee timely completion and review of monthly bank reconciliations and resolution of unidentified or unapplied cash, maintaining clearly defined preparation, review, and approval responsibilities and appropriate segregation of duties.
• Lead treasury fraud prevention and response activities, including positive pay, ACH blocks and filters, payment-change verification, and escalation of suspected fraudulent activity.
• Provide regular reporting to executive leadership on cash forecasts, liquidity trends, treasury performance measures, and emerging risks, with actionable recommendations.
• Coordinate treasury support for external audits, lender reporting, debt covenant monitoring, and applicable compliance requirements; escalate identified issues and support corrective action.
• Lead cross-functional treasury initiatives with Accounting, Revenue Cycle, Payroll, and other stakeholders, establishing responsibilities, resolving barriers, and monitoring completion.
• Direct treasury process improvement and automation initiatives, prioritizing changes that strengthen cash visibility, operational efficiency, and control effectiveness.

SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

QUALIFICATIONS
Knowledge, Skills, Abilities:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. 

• Advanced knowledge of cash management, liquidity forecasting, banking services, payment systems, and treasury controls in a multi-entity environment.
• Ability to translate business priorities and financial obligations into treasury strategies, funding recommendations, and operating plans.
• Strong financial modeling and analytical skills, including evaluating forecast assumptions, performing scenario and variance analyses, and identifying liquidity risks.
• Ability to establish and assess internal controls, identify control gaps, and lead timely corrective action.
• Strong understanding of bank reconciliations, intercompany funding and settlements, and the relationship between treasury activity and financial reporting.
• Ability to communicate complex financial information, risks, and actionable recommendations clearly to executive leadership and other stakeholders.
• Ability to lead cross-functional initiatives, establish accountability, and resolve competing priorities, including when working without direct supervisory authority.
• Strong relationship management and negotiation skills with financial institutions and treasury service providers.
• Advanced proficiency with Microsoft Excel and experience using ERP systems, banking platforms, and treasury management technology.
• Ability to evaluate and implement process improvements and automation while maintaining effective controls.
• Sound independent judgment when making time-sensitive decisions involving liquidity, funding, and payment security.
• Excellent organizational skills and ability to manage competing cash, payment, and reporting deadlines in a fast-paced environment.
• Ability to exercise discretion and maintain the confidentiality of sensitive financial and business information.

Education / Experience:  Include minimum education, technical training, and/or experience preferred to perform the job.

Required:

• Bachelor’s degree in Finance, Accounting, or a related field
• Minimum of eight (8) years of progressive experience in treasury, cash management, or corporate finance, including hands-on experience with cash forecasting, bank reconciliations, banking relationships, and multi-entity cash management
• Demonstrated experience leading a treasury function or significant treasury initiatives, including establishing controls, advising senior leadership, and coordinating execution across departments

Preferred:

• Certified Treasury Professional (CTP), Certified Public Accountant (CPA), or Master of Business Administration (MBA).
• Healthcare industry experience, ideally within physician services or a multi-site provider group, including familiarity with payer remittance flows, electronic funds transfers, electronic remittance advice, 835 files, and revenue cycle cash posting.
• Experience implementing treasury management systems or automating cash management processes.
• Experience supporting lender relationships, credit facilities, and debt covenant reporting.
  
  

PHYSICAL DEMANDS:  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. .

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to:  remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Occasionally lift and/or move up to 20-25 pounds 
• Fine hand manipulation (keyboarding)
  
  

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. 

• Hybrid format at Corporate office: 4835 Lyndon B Johnson Fwy, Dallas, TX 75244
• The noise level in the work environment is usually low
  
  

ADA & Reasonable Accommodation Statement: 
IES is committed to providing equal employment opportunities to qualified individuals with disabilities. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. If you require accommodation during the application or employment process, please contact  View email address on ziprecruiter.com.

The company is committed to creating a diverse, inclusive, and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age, race, religion, nationality, sexual orientation, gender identity or expression, disability, or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds, experiences, and abilities and believe that the unique experiences of our team drive our success.

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