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Manager, Payment Operations at Point C
United States - RemoteFull-timeRemoteOperationsPosted 23 days ago
Apply with PipelineAbout the Role
<div class="content-intro"><p><span data-olk-copy-source="MessageBody"><strong><a href="https://pointchealth.com" target="_blank">Point C</a> </strong>is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market – to do more for clients – and take them beyond the standard “Point A to Point B.” We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as, network and payment integrity, pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company.</span></p></div><p>The Manager, Payment Operations is responsible for leading and optimizing payment-related operational processes across the platform. This role combines operational leadership, process ownership, and cross-functional collaboration to ensure accuracy, scalability, and efficiency in payment execution and supporting systems.</p>
<p class="font-claude-response-body break-words whitespace-normal leading-[1.7]"><strong>Primary Responsibilities</strong></p>
<ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3">
<li class="font-claude-response-body whitespace-normal break-words pl-2">Own end-to-end payment operations, including check run processing and register management across multiple platforms</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Lead daily workflows to ensure accuracy, timeliness, and compliance; establish and monitor KPIs and SLAs</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Manage vendor relationships (e.g., ECHO) for file transmissions and EOB template creation/modification; troubleshoot vendor file failures</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Monitor revenue generation and EOB timing and reporting</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Partner with IT on incident response and system issues</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Drive automation and efficiency initiatives; support dashboard and reporting development</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Partner with Finance on funding requests, registers, and reporting</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Support TPA acquisition integrations</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Maintain controls, quality standards, workflow testing, and validation</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Lead SOP development, process standardization, and team training</li>
</ul>
<p class="font-claude-response-body break-words whitespace-normal leading-[1.7]"><strong>Qualifications</strong></p>
<ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3">
<li class="font-claude-response-body whitespace-normal break-words pl-2">5+ years of experience in payment operations or healthcare administration</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">3+ years of leadership experience with cross-functional collaboration</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Background in claims management</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Strong analytical, problem-solving, and communication skills</li>
<li class="font-claude-response-body whitespace-normal break-words pl-2">Experience with ECHO Health payment systems, VBA, HEALTHpac and QicLink preferred</li>
</ul>
<p> </p><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p>Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.</p></div><div class="title">Pay Transparency</div><div class="pay-range"><span>$65,000</span><span class="divider">—</span><span>$80,000 USD</span></div></div></div><div class="content-conclusion"><div><strong data-olk-copy-source="MessageBody">Benefits:</strong></div>
<ul data-end="718" data-start="487">
<li>Comprehensive medical, dental, vision, and life insurance coverage</li>
<li>401(k) retirement plan with employer match</li>
<li>Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)</li>
<li>
<div>Paid time off (PTO) and disability leave</div>
</li>
<li>Employee Assistance Program (EAP)</li>
</ul>
<p> </p>
<p><strong>Equal Employment Opportunity</strong>: At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.</p>
<p> </p></div>
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