Corporate Treasurer

PARADIGM HEALTHCARE; Houston (TX); On-site; USD 120,000 - 210,000; Full time

Job summary

PARADIGM HEALTHCARE in Houston seeks a Corporate Treasurer to lead liquidity, cash flow forecasting, and banking relationships. You will own daily cash management, 13-week cash forecasts, and working capital optimization to support enterprise objectives.

This role supervises AR, Revenue Cycle, and Accounts Payable, aiming to collect 98% of receivables and maintain strong internal controls. You will collaborate with senior leadership and external lenders to manage debt and capital structure.

Qualifications

• Bachelor’s degree in Finance, Accounting, or related field; CPA/CFA preferred.
• 10+ years of treasury, finance, or accounting experience with increasing responsibility; healthcare experience a plus.
• Experience with multi-entity structures and SNF billing experience preferred.
• Strong understanding of cash management, banking operations, and internal controls.

Responsibilities

• Oversee cash management activities and 13-week rolling cash flows.
• Manage banking relationships, lines of credit, and borrowing base reporting.
• Lead AR, Revenue Cycle, and Accounts Payable to optimize cash collections.
• Drive liquidity optimization and debt/capital structure planning.
• Ensure timely payments, strong controls, and compliance with covenants.

Skills

Cash management

Banking relationships

Financial analysis

Leadership

Communication

Education

Bachelor’s degree in Finance or Accounting

CPA/CFA preferred

Tools

ERP systems

Job description

Job DetailsJob Location: Paradigm Houston - Houston, TX 77056Position Type: Full TimeJob Shift: DayJob Category: AccountingCorporate Treasurer

Summary/Objective

The Corporate Treasurer is responsible for overseeing the company’s liquidity, cash flow forecasting, banking relationships, financial risk management, and working capital operations, including Accounts Receivable and Accounts Payable. This role serves as the central control point for enterprise cash management, ensuring disciplined oversight of cash inflows and outflows, strong internal controls, and alignment with the company’s strategic and operational objectives.

This role provides leadership and oversight of Treasury, Accounts Receivable, and Accounts Payable functions to ensure optimized cash flow, timely collections, efficient disbursement processes, and achievement of enterprise liquidity goals.

This position plays a critical role in driving the company’s overall working capital performance, including ownership of collection initiatives, reimbursement oversight, and revenue cycle collaboration to support the organization’s goal of collecting 98% of accounts receivable.

Key Responsibilities

Treasury and Liquidity Management

• Own and execute all cash management activities, including monitoring daily cash positions and ensuring proper controls over fund movement.
• Own and maintain a 13-week rolling cash flow forecast, including weekly variance analysis, scenario planning, and actionable insights.
• Advise management on liquidity implications of short and long-range planning.
• Manage banking relationships, including lines of credit, treasury services, and borrowing base reporting.
• Support capital structure planning, including debt utilization, intercompany funding, and liquidity optimization across entities.
• Monitor and support compliance with debt covenants and lender requirements.
• Own and control all cash disbursements (wires, ACH, etc.), including timing, prioritization, and approval.
• Oversee borrowing base eligibility analysis related to accounts receivable and ensure accuracy of supporting schedules.
• Serve as the primary owner of day-to-day liquidity management, ensuring no reliance on CFO involvement for routine cash operations.

Accounts Receivable and Revenue Cycle Oversight

• Provide executive oversight of the Accounts Receivable function, including billing, collections, reimbursement follow-up, and denial resolution.
• Lead initiatives to optimize cash collections and reduce days sales outstanding (DSO).
• Partner closely with Operations, Regional Business Office Director, and external revenue cycle partners to drive collection performance and accountability.
• Monitor AR aging, collection trends, and reimbursement issues, with a focus on Medicare, Medicaid, Managed Care, Private Pay, and ancillary revenue.
• Develop and maintain AR dashboards and KPIs, including collection rate, DSO, Medicaid pending balances, and aging by payer category.
• Lead recurring AR review meetings to identify barriers, **escalate** issues, and establish action plans for aged receivables.
• Support implementation of best practices in billing and collections to improve cash flow and reduce bad debt expense.
• Ensure accurate and timely recording of contractual adjustments, write-offs, and reserve estimates.
• Drive achievement of the company’s AR collection objectives, including the strategic goal of collecting 98% of receivables.

Accounts Payable Oversight

• Provide direct leadership of Accounts Payable performance, ensuring alignment with company cash flow and working capital objectives.
• Ensure timely and accurate processing of vendor payments while maintaining strong approval and control procedures.

Supervisory Responsibility

This position supervises the Regional Business Office Director, external AR vendor, Treasury Manager, and Accounts Payable Manager.

Qualifications

• Bachelor’s degree in Finance, Accounting, or related field (CPA/CFA preferred).
• 10+ years of experience in treasury, finance, or accounting roles, with increasing responsibility, including AP.
• Experience with multi-entity structures and Healthcare/SNF experience.
• SNF billing experience preferred.

Required Skills

• Excellent understanding of cash management, banking operations, and internal controls.
• Experience working with lines of credit and borrowing base structures preferred.
• Excellent communication and leadership abilities.
• Executive presence and ability to interact effectively with lenders, owners, and senior leadership.

Key Performance Indicators

• 13-week rolling cash flow forecast accuracy >90%.
• Daily cash reporting accuracy and timeliness (no surprises).
• DSO maintained within established targets.
• Timely execution of all payments with zero control failures.

Position Type and Expected Hours of Work

This position supports healthcare facility operations that operate every day of the year. Although this is generally a Monday through Friday position, there will be scheduled times of work on the weekends and holidays. Significant events can occur at any given time that require working. Ongoing direction and support may be necessary if systems are not properly implemented, continuously improved, and monitored.

Work Environment and Physical Demands

This position routinely uses standard office equipment such as computers, phones, photocopiers and may require some use of machinery consistent with the job duties.

While performing the duties of this position, the employee is regularly required to talk and hear. This position at times requires the ability to walk, sit, use hands, reach, climb, stoop, bend, kneel, twist, and lift as necessary.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for their job. Duties, responsibilities, and assignments may change at any time with or without notice.

Reasonable Accommodation

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.