Manager, Payment Operations

3 weeks ago
Full-time
Senior
Operations
Point C

Point C

Point C is a trusted health benefits partner that delivers meaningful solutions for brokers and their self-funded clients. They administer benefit plans, manage medical costs, and provide a high-value member experience. Point C creates seamless partner...

Insurance
11-50
Founded 2020

Description

  • Own the end-to-end claims funding process, including check register generation, Echo file transmissions, EOB template management, and custodial account reconciliation across all client groups.
  • Lead and develop a team of funding specialists by assigning portfolios, establishing daily workflows, and ensuring accuracy, timeliness, and compliance.
  • Drive the implementation and operationalization of check run automation within the VBA platform and serve as the internal subject matter expert.
  • Establish and monitor KPIs, SLAs, and quality controls for funding operations to reduce error rates and client escalations.
  • Manage vendor relationships, including ECHO Health, for file transmissions and troubleshooting.
  • Partner with IT on system issues, automation enhancements, and platform migrations.
  • Develop and maintain SOPs, staffing models, and training materials for the funding team.
  • Support acquisition integrations and the consolidation of funding processes onto a unified platform.
  • Serve as the Finance liaison for funding-related client inquiries, stop loss coordination, and claims register reviews.

Requirements

  • 5+ years of experience in claims funding, payment operations, or TPA finance operations.
  • 3+ years of leadership experience managing a team in a healthcare or TPA environment.
  • Hands-on experience with VBA as a claims and funding platform.
  • Experience with check run automation tools strongly preferred.
  • Familiarity with ECHO Health payment systems, HEALTHpac, and QicLink.
  • Deep understanding of the TPA funding cycle, including check register generation, custodial account management, stop loss coordination, and Echo transmission.
  • Strong analytical, organizational, and communication skills.
  • Ability to build processes from scratch and manage through ambiguity in a fast-moving environment.

Benefits

  • $65,000 to $80,000 USD base salary.
  • Eligible for additional compensation such as bonuses and merit increases.
  • Potential sales commission depending on role-specific commission plan.
  • Comprehensive medical, dental, vision, and life insurance coverage.
  • 401(k) retirement plan with employer match.
  • Health Savings Account (HSA) and Flexible Spending Accounts (FSAs).
  • Paid time off (PTO) and disability leave.
  • Employee Assistance Program (EAP).

Interested in this position?

Apply directly on the company website

Apply Now

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