Payment Operations Manager

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Point C

Site WebLinkedInTous les Emplois

201 - 500 employés

🛡️ Assurance

💼 Conseil

📦 Logistique

Insurance • Consulting • Logistics

Point C est un partenaire de confiance dans le domaine des avantages sociaux en santé, offrant des solutions significatives pour les courtiers et leurs clients autofinancés. La société se spécialise dans l'administration de plans d'avantages, la gestion efficace des coûts médicaux et l'assurance d'une expérience de grande valeur pour les membres. Avec un accent sur l'intégration des fournisseurs et les insights basés sur les données, Point C vise à simplifier le processus des avantages tout en fournissant un accès à des soins de qualité et à des outils mobiles innovants pour ses clients et leurs employés.

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; assign group portfolios, establish daily workflows, and ensure accuracy, timeliness, and compliance • Drive the implementation and operationalization of check run automation within the VBA platform; serve as the internal subject matter expert • Establish and monitor KPIs, SLAs, and quality controls for all funding operations; 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 all funding-related client inquiries, stop loss coordination, and claims register reviews

🎯 Exigences

• 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 — required • Experience with check run automation tools strongly preferred • Familiarity with ECHO Health payment systems, HEALTHpac, and QicLink • Deep understanding of the TPA funding cycle: 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

🏖️ Avantages

• Comprehensive medical, dental, vision, and life insurance coverage • 401(k) retirement plan with employer match • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) • Paid time off (PTO) and disability leave • Employee Assistance Program (EAP)