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.

ZT EMPLOYMENT SERVICES LLC

Latest Jobs

Treasury Manager