Full-Time

Manager – Payment Operations

Point C

Point C

51-200 employees

Designs and administers healthcare benefit plans

Compensation Overview

$65k - $80k/yr

+ Bonus + Sales Commission

Remote in USA

Remote

Remote within the United States.

Category
Accounting (1)
Required Skills
VBA

Get referred to Point C

See people who can refer or advise you

Requirements
  • 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
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
Desired Qualifications
  • Experience with check run automation tools strongly preferred
  • Familiarity with ECHO Health payment systems, HEALTHpac, and QicLink

Point C Health designs and administers healthcare benefit plans for brokers and self-funded employers. It coordinates services from healthcare providers and vendor organizations to create a single, streamlined experience. The company focuses on reducing costs through cost containment strategies while preserving a high-quality member experience. Its offerings include benefit plan administration, medical cost management, and vendor integration, all supported by comprehensive metrics and reporting tools. Clients are brokers, employers, and members who benefit from simplified benefit management, access to skilled clinicians, and strong customer care partnerships. Point C Health’s goal is to help organizations control healthcare costs without compromising member satisfaction by delivering high-value, data-driven benefits programs.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Chicago, Illinois

Founded

2020

Get referred to Point C

See people who can refer or advise you

Simplify Jobs

Simplify's Take

What believers are saying

  • May 5, 2026 CAS acquisition expands West Coast reach and adds Pacific Northwest customers.
  • Point C now sells specialty PBM, care management, and cost-containment together, increasing wallet share.
  • 2024 recapitalization and eight prior TPA acquisitions signal capital access and continued roll-up momentum.

What critics are saying

  • Point C is a PE-backed aggregator; integration failures across 2026 acquisitions can break service quality.
  • The CAS integration adds regulatory and operational complexity during 2026 contracting and onboarding.
  • A competitor with lower-cost, tech-first administration can win brokers if claims errors rise.

What makes Point C unique

  • Point C runs an independent TPA model across seven regional offices and Pacific Northwest.
  • Shore Capital recapitalized Point C in November 2024, backing acquisition-led scaling.
  • URAC-accredited PBM review, utilization management, and care management create sticky benefit administration.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Retirement Plan

401(k) Company Match

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Vacation

Paid Sick Leave

Employee Assistance Program (EAP)

Growth & Insights and Company News

Headcount

6 month growth

-1%

1 year growth

-1%

2 year growth

-1%
Business Wire
May 6th, 2026
Point C Expands National Footprint With Strategic Acquisition of Coastal Administrative Services

Point C has expanded its national footprint through the strategic acquisition of Coastal Administrative Services.

Business Wire
Nov 20th, 2024
Shore Capital Partners Announces Recapitalization of Point C through its Healthcare Advantage Fund

Shore Capital Partners (“Shore Capital” or “Shore”), a Chicago-based private equity firm with offices in Nashville, announced its strategic investment