Manager, Payment Operations

Primary 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
• Serve as the Finance liaison for all funding-related client inquiries, stop loss coordination, and claims register reviews

Qualifications

• 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