Payment Operations Manager

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Point C

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

📋 Compliance

🤝 B2B

Healthcare Insurance • Compliance • B2B

Point C is a trusted health benefits partner that delivers meaningful solutions for brokers and their self-funded clients. The company specializes in administering benefit plans, managing medical costs effectively, and ensuring a high-value experience for members. With a focus on vendor integration and data-driven insights, Point C aims to simplify the benefit process while providing access to quality care and innovative mobile tools for its clients and their employees.

📋 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

🎯 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 — 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

🏖️ Benefits

• 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)