Manager, Payment Operations
About the role
About Point C
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.
Role Overview
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