Director of Procurement & Accounts Payable

POSITION SUMMARY:

The Director of Procurement & Accounts Payable is responsible for end-to-end leadership of the procure-to-pay (P2P) function across a multi-facility specialty hospital system serving patients with neurodevelopmental disorders and complex medical/behavioral comorbidities. This role ensures the reliable, compliant, and cost-effective acquisition of clinical and operational resources while maintaining strong internal controls, safeguarding financial integrity, and supporting uninterrupted patient care delivery. The Director partners with clinical, operational, and financial leaders to align procurement strategies with patient safety, regulatory compliance, and evidence-based care delivery, while optimizing efficiency, vendor performance, and automation across the P2P lifecycle.

JOB-SPECIFIC RESPONSIBILITIES:

•     Service 

o    Consistently supports and communicates the Mission, Vision, and Values of Nexus Health Systems

o    Upholds the Standards of conduct and corporate compliance

o    Demonstrates honest behavior in all matters. To the best of the employee’s knowledge and understanding, complies with all Federal and State laws and regulations.

o    Maintains the privacy and security of all confidential and protected health information. Uses and discloses only that information which is necessary to perform the function of the job.

o    Adheres to all Nexus Health Systems policies on Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)

o    Collaborates effectively with colleagues and other departments to ensure seamless service delivery.

o    Ensure uninterrupted availability of medical, behavioral, and operational supplies critical to the care of patients with neurodevelopmental and complex conditions.

o    Oversee full procure-to-pay cycle: requisitioning, vendor selection, contract execution, purchase orders, invoice processing, three-way match, and payment.

o    Partner with clinical leadership to maintain an approved product formulary supporting standardization and patient-specific needs.

o    Provide responsive service to internal stakeholders, including nursing, therapy, behavioral health, pharmacy, and facilities teams.

o    Administer vendor onboarding, master file integrity, W-9 collection, and payment setup processes.

•    Excellence 

o    Lead and develop a high-performing procurement and accounts payable team, including staffing, competency development, and performance management.

o    Optimize ERP and automation platforms (e.g., Microsoft Dynamics 365, invoice capture tools) to increase efficiency and reduce manual processing.

o    Drive process improvements to reduce cycle time, eliminate waste, and improve accuracy.

o    Establish KPIs for procurement and AP performance (e.g., invoice cycle time, PO compliance, vendor accuracy, cost savings).

o    Implement strategic sourcing and supplier diversification to enhance supply chain resilience and cost effectiveness.

•    Patient Experience and Advocacy 

o    Ensure procurement decisions prioritize patient safety, therapeutic appropriateness, and clinical outcomes, especially for vulnerable neurodevelopmental populations.

o    Collaborate with interdisciplinary stakeholders (nursing, therapy, behavioral health, physicians) to evaluate products impacting patient care.

o    Support availability of specialized equipment and supplies required for behavioral stabilization, rehabilitation, and complex care delivery.

o    Incorporate feedback from frontline clinicians to improve product selection and vendor performance.

o    Ensure vendor services align with trauma-informed care environments and patient dignity standards.

•    Quality Assurance and Compliance: (Standard for all JDs- can add but cannot remove these)

o    Ensures all activities adhere to healthcare regulations and organizational policies.

o    Participates in quality improvement initiatives to enhance service delivery.

o    Promotes a culture of patient safety which results in the identification and reduction of unsafe practices.

o    Design and enforce procurement and AP policies aligned with:

    CMS Conditions of Participation

    Fraud and abuse laws (Anti-Kickback Statute, Stark Law)

    HIPAA/privacy requirements where vendor access to PHI exists

    Texas HHSC procurement and contracting standards

o    Ensure vendor due diligence, including licensure verification, sanctions screening, and quality assurance documentation. 

    Maintain strong internal controls, including:

    Segregation of duties

    Three-way match validation

    Duplicate payment prevention

    Positive pay controls

o    Oversee contract compliance, ensuring pricing, rebates, and service-level agreements are met. 

o    Support internal and external audits; maintain complete documentation for financial and regulatory review.

o    Ensure compliance with 1099 reporting, ASC 842 lease accounting, and financial reporting standards.

o    Align policies with healthcare supply chain best practices (AHRMM), including standardized procedures and governance structures. 

•    Professional Growth and Continuing Education:  

o    Completes annual education requirements.

o    Maintains competency, as evidenced by completion of competency validation requirements.

o    Maintains competency and knowledge of current standards of practice, trends, and developments.

o    Participates in relevant workshops, seminars, and continuing education courses to stay current with industry trends, healthcare regulations, and best practices.

o    Promote ongoing education in: 

    Healthcare procurement regulations

    Accounts payable best practices and automation

    Supply chain risk management and resilience

o    Encourage and support professional certifications (e.g., CAPP, CPA, CMA). 

o    Maintain awareness of evolving healthcare procurement regulations, reimbursement changes, and supply chain risks. 

o    Provide structured onboarding, annual competency validation, and leadership development for procurement and AP staff. 

o    Foster interdisciplinary education with finance, compliance, and clinical teams.

•    Finance: 

o    Promotes stewardship of hospital resources while ensuring quality patient care.

o    Oversee accounts payable operations to ensure timely, accurate, and compliant vendor payments. 

o    Manage cash flow forecasting, AP aging, accruals, and month-end close support. 

o    Identify cost savings opportunities through contract negotiation, utilization management, and spend analytics. 

o    Lead vendor negotiations and system-wide contracting strategies to maximize value and minimize risk. 

o    Monitor budgets and procurement spend to ensure alignment with organizational financial goals. 

o    Ensure implementation of AP best practices, including: 

•    Fraud prevention controls

•    Vendor master file governance

•    KPI tracking and reporting

•    Automation and digitization of invoice processing

•    Performs other duties as assigned. 

POSITION QUALIFICATIONS:

EDUCATION: 

•    Bachelor’s degree in Accounting, Finance, Supply Chain Management, Healthcare Administration, or related field (required)

•    Master’s degree (MBA, MHA, or related field) preferred.

EXPERIENCE: 

•    Minimum 7–10 years of progressive experience in procurement, accounts payable, or supply chain management

•    Minimum 3–5 years in a leadership role within a multi-entity healthcare environment

•    Demonstrated experience managing procure-to-pay operations, vendor contracting, and financial controls

•    Experience within specialty healthcare, behavioral health, rehabilitation, or complex care environments strongly preferred

SKILLS:

•    Advanced knowledge of: 

•    Procure-to-pay lifecycle

•    Internal controls and audit readiness

•    Healthcare procurement regulations and compliance

•    Strong analytical, financial, and data-driven decision-making skills 

•    Expertise in ERP systems (e.g., Microsoft Dynamics 365) and AP automation tools 

•    Ability to lead cross-functional collaboration across clinical, operational, and finance teams 

•    Strong negotiation, vendor management, and contract management skills 

•    Excellent leadership, communication, and change management capabilities 

•    Proven ability to manage competing priorities in a fast-paced healthcare environment

LICENSURE/CERTIFICATION:  

•    Certified Accounts Payable Professional (CAPP) – preferred; recognized global standard for AP competency and leadership 

•    Certified Public Accountant (CPA) or Certified Management Accountant (CMA) – preferred

•    AHRMM certifications (e.g., CMRP – Certified Materials & Resource Professional) – preferred

•    Lean Six Sigma certification – preferred

•    Must maintain current certification in good standing during employment with this facility.