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[Remote] Senior Accounts Payable Specialist

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Alto Pharmacy is a healthcare technology company focused on enhancing patient care and outcomes. They are seeking a highly organized Senior Accounts Payable Specialist to manage end-to-end AP operations, vendor oversight, and transaction management in a fast-paced finance environment.

Responsibilities

  • Spend Auditing: Review and audit all employee spend within Ramp to ensure compliance with established company travel and expense policies
  • Proactive Receipt Collection: Monitor transactions and actively reach out to employees to request missing receipts, memos, or required documentation
  • Policy Communication: Serve as the internal point of contact for expense policies, clearly communicating guidelines and helping employees understand "what fits" within company compliance
  • Platform Ownership: Issue, manage, and monitor virtual and physical corporate cards to employees and vendors via Ramp
  • System Optimization: Assist in refining Ramp workflows, submission policies, and mapping to maximize automation and efficiency
  • Invoice & Workflow Management: Review, code, and route invoices for proper approval, ensuring seamless integration between Coupa and Sage Intacct / NetSuite
  • Payment Execution: Manage and oversee all outgoing payments, including ACH, wires, manual check payments, and virtual card settlements
  • Vendor Management: Handle new vendor onboarding, maintain precise system setups, issue annual 1099 reporting, and serve as the main point of contact for vendor inquiries
  • Ledger Accuracy: Reconcile the AP sub-ledger, corporate card statements, and bank accounts to ensure all bills and payments are accurately posted
  • Month-End Close: Assist with month-end activities, including preparing expense accruals and reconciling balance sheet accounts
  • Discrepancy Resolution: Investigate and resolve billing discrepancies by reconciling vendor accounts against monthly statements
  • Policy & Documentation: Review existing AP/T&E policies. Evaluate, recommend, and implement changes to boost efficiency and internal controls. Maintain up-to-date process documentation
  • Internal Training: Act as the internal champion for AP and T&E processes, providing clear training and support to team members across all levels of the company

Skills

  • Experience: 3–5 years of progressive, high-volume accounts payable and expense management experience
  • Education: Bachelor's degree in Finance, Accounting, or a related field (or equivalent hands-on experience)
  • Tech Stack Expertise: Must-Have: Hands-on experience with Coupa and Sage Intacct (experience with NetSuite is a strong plus)
  • Highly Preferred: Prior experience administering Ramp (or a similar modern spend management platform like Brex/Navan)
  • Strong understanding of AP processes, invoice workflows, vendor management, reconciliations, and month-end close procedures
  • Proven ability to manage large transaction volumes while maintaining exceptional attention to detail and accuracy
  • Experience working across multiple systems simultaneously in fast-paced, deadline-driven environments
  • Strong analytical, organizational, and problem-solving skills
  • Excellent communication and cross-functional collaboration abilities
  • Proficiency in Excel including pivot tables, VLOOKUP/XLOOKUP, and data analysis functions
  • 5+ years of full-cycle Accounts Payable experience in high-volume, fast-paced environments
  • Hands-on experience with AP automation and ERP systems including Ramp, NetSuite, Coupa, Sage Intacct, SAP, or similar platforms
  • Strong understanding of invoice processing, 2-way and 3-way matching, purchase orders, vendor management, expense reporting, and payment processing
  • Experience processing high transaction volumes with strong accuracy and attention to detail
  • Ability to manage multiple priorities, deadlines, entities, and systems simultaneously
  • Experience supporting month-end close activities including accruals, reconciliations, and AP aging analysis
  • Proficient in Microsoft Excel including pivot tables, VLOOKUP/XLOOKUP, filtering, and reconciliations
  • Strong problem-solving skills with the ability to investigate discrepancies and independently resolve issues
  • Excellent organizational, communication, and cross-functional collaboration skills
  • Associate's or Bachelor's degree in Accounting, Finance, or related field preferred
  • Experience in healthcare, technology, logistics, manufacturing, or other high-growth industries is a plus
  • Comfortable adapting to new systems, process changes, and automation initiatives

Benefits

  • Dental, vision, and multiple group medical plans to choose from
  • A 401(k) retirement savings plan
  • Group life insurance
  • Accidental death and dismemberment (AD&D) insurance
  • Flexible spending account (FSA) and health savings account (HSA)
  • Commuter benefits
  • Employer-paid short-term (STD) and long-term disability (LTD) insurance
  • Additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)
  • Flexible vacation time
  • Accrued paid sick time
  • 10 paid holidays
  • (2 floating holidays for full time non-exempt employees)
  • Eight weeks of paid parental leave for eligible employees
  • Additional paid weeks for the birthing parent
  • 4 weeks paid caregiver leave
  • A Lifestyle Spending Account allowance each month

Company Overview

  • Alto is a digital pharmacy that makes the prescription experience easier. It is a sub-organization of Fuze Health. It was founded in 2015, and is headquartered in San Francisco, California, USA, with a workforce of 501-1000 employees. Its website is https://www.alto.com.
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