Point C 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.
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.
Primary Responsibilities
- Own end-to-end payment operations, including check run processing and register management across multiple platforms
- Lead daily workflows to ensure accuracy, timeliness, and compliance; establish and monitor KPIs and SLAs
- Manage vendor relationships (e.g., ECHO) for file transmissions and EOB template creation/modification; troubleshoot vendor file failures
- Monitor revenue generation and EOB timing and reporting
- Partner with IT on incident response and system issues
- Drive automation and efficiency initiatives; support dashboard and reporting development
- Partner with Finance on funding requests, registers, and reporting
- Support TPA acquisition integrations
- Maintain controls, quality standards, workflow testing, and validation
- Lead SOP development, process standardization, and team training
Qualifications
- 5+ years of experience in payment operations or healthcare administration
- 3+ years of leadership experience with cross-functional collaboration
- Background in claims management
- Strong analytical, problem-solving, and communication skills
- Experience with ECHO Health payment systems, VBA, HEALTHpac and QicLink preferred
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.
- 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)
Equal Employment Opportunity: 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.
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