Treasury Manager at Altus Community Healthcare in Houston, TX

Description

Job Title: Treasury

Reports to: Controller / VP Finance

Location: Houston, TX / hybrid

Summary

We are a private equity-backed, multi-entity emergency care group looking for a Treasury Manager to own cash, liquidity, forecasting and lender relationships. You will run daily treasury operations, manage our asset-based credit facility, and give leadership and our PE partners a clear, forward view of cash. You will work closely with treasury at the private equity sponsor level and with our corporate treasury team, so group-wide cash, funding and lender decisions stay aligned.

Role and Responsibilities:

Cash management and forecasting

• Prepare the daily cash position and manage liquidity across all entities to cover payroll, vendors and debt service
• Own the rolling 13-week and 12-month cash forecasts by entity, including payer, IDR and personal injury receipt timing; explain weekly variances and run downside scenarios
• Maintain the cash calendar and align payment runs with available cash
• Report weekly and monthly on cash, liquidity, availability and forecast accuracy to finance leadership and our PE partners

Debt, banking and lender compliance

• Manage draws and repayments on the credit facility; prepare borrowing base certificates and covenant compliance certificates
• Keep the debt schedule and a compliance calendar of every reporting and notice deadline; test covenants and baskets before distributions
• Serve as day-to-day contact for banks and lenders; support amendments, renewals and new financing
• Manage bank accounts, lockboxes, sweeps and control agreements; review bank fees and banking services

Intercompany and receipts

• Fund each entity and coordinate intercompany transfers, settlements and equity movements with the Controller, corporate treasury and the PE sponsor's treasury team
• Monitor daily receipts from payers, patients and PI settlements and partner with Revenue Cycle to match remittances and post cash on time
• Fund patient and payer refunds and manage unclaimed property
• Set up treasury for new facilities and acquisitions

Controls and systems

• Release payments within the Delegation of Authority under dual authorization
• Maintain treasury policies and fraud controls, including positive pay, ACH debit blocks and fraud response
• Lead and review the work of an offshore team handling cash posting, payments and reporting
• Improve automation through bank feeds into NetSuite and treasury tools; support the external audit

Requirements

Education/Skills & Certifications:

• Bachelors in finance or accounting; 5+ years in treasury, corporate finance or banking
• Hands-on experience with an asset-based facility: borrowing base, covenants and lender reporting
• Track record building 13-week cash forecasts in a multi-entity group
• Strong Excel; NetSuite or a similar ERP
• Clear communicator with lenders, senior leadership and sponsor-level treasury and finance teams

Preferred: CTP certification; healthcare receivables or revenue cycle exposure; private equity–backed company experience; treasury management system or bank API implementation.