Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform, making world-class healthcare available anytime, anywhere, while significantly reducing costs for payers, self-insured employers, national health systems, and other healthcare organizations. Sword began by reinventing pain care with AI at its core, and has since expanded into women’s health, movement health, and more recently mental health. Since 2020, more than 700,000 members across three continents have completed 10 million AI sessions, helping Sword's 1,000+ enterprise clients avoid over $1 billion in unnecessary healthcare costs. Backed by 42 clinical studies and over 44 patents, Sword Health has raised more than $500 million from leading investors, including Khosla Ventures, General Catalyst, Transformation Capital, and Founders Fund. Learn more at www.swordhealth.com.
We are seeking an experienced AP Lead to own the global procure-to-pay (P2P) process in a centralized, multi-entity environment. This role is responsible for AP execution quality, invoice throughput, payment accuracy, tax correctness, and AP-related close discipline, with a strong emphasis on system-enabled efficiency and cross-functional collaboration.
The AP Lead is a key partner to Accounting and FP&A, ensuring accurate departmental allocations, clean accruals, and proper budget alignment within P2P systems to support a predictable T+5 monthly close.
What you’ll be doing:
- Own and manage the end-to-end accounts payable and P2P process.
- Lead and develop AP Specialists and Trainees.
- Enforce invoice, expense, and cutoff discipline to support a T+5 close.
- Oversee invoice processing, coding, approvals, and posting.
- Review and approve payment runs.
- Prepare and review AP accruals in partnership with FP&A.
- Ensure accurate department and cost center allocations.
- Support budget integration and controls within P2P systems.
- Own vendor master data governance.
- Ensure correct VAT treatment, with a strong focus on Portuguese tax requirements.
- Resolve escalated vendor, allocation, and tax-related issues.
- Partner with Accounting, FP&A, and Systems teams on continuous improvement initiatives.
What you need to have:
- Portuguese Chartered Accountant — strongly preferred.
- 5-7+ years of AP or accounting operations experience.
- Strong knowledge of Portuguese VAT and local tax requirements.
- Proven experience leading AP operations in a centralized environment.
- Demonstrated ability to partner effectively with FP&A.
- Experience in multi-entity and/or international organizations.
- Strong process mindset with attention to detail and controls.
- Comfortable operating in high-volume transaction environments.
- Systems & Implementation Experience (Strong Plus).
- NetSuite AP experience (vendor master, invoice processing, approvals, payments).
- Hands-on participation in an AP / P2P system implementation, such as: Tipalti, Stampli, Coupa, ZIP or similar.Experience with workflow and close coordination tools (e.g., FloQast).
- Exposure to budget controls, coding rules, or validation logic within P2P systems.
To ensure you feel good solving a big Human problem, we offer:
- A stimulating, fast-paced environment with lots of room for creativity.
- A bright future at a promising high-tech startup company.
- Career development and growth, with a competitive salary.
- The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare.
- A flexible environment where you can control your hours (remotely) with unlimited vacation.
- Access to our health and well-being program (digital therapist sessions).
- Remote or Hybrid work policy.
Portugal - Sword Benefits & Perks:
• Health, dental and vision insurance
• Meal allowance
• Equity shares
• Remote work allowance
• Flexible working hours
• Work from home
• Discretionary vacation
• Snacks and beverages
• English class
Note: Please note that this position does not offer relocation assistance. Candidates must possess a valid EU visa and be based in Portugal.
Sword Health complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.
