Note: The job is a remote job and is open to candidates in USA. Point C is a National third-party administrator (TPA) that delivers customized self-funded benefit programs. The Manager, Payment Operations is responsible for leading all claims funding and check run operations, managing a team of funding specialists, and driving automation efforts to ensure operational readiness for client growth.
Responsibilities
- 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
Skills
- 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
- 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
- Experience with check run automation tools strongly preferred
- Familiarity with ECHO Health payment systems, HEALTHpac, and QicLink
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)
Company Overview