Senior Payment Operations Specialist
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Job Description
Senior Payment Operations Specialist managing reconciliations, exceptions, and compliance for Nomi Health’s healthcare payment solutions. Partnering with Product and Technology to improve platform reliability.
Responsibilities:
- Manage, monitor, and ensure all payment processing meets established SLAs for timeliness and accuracy
- Triage and resolve payment exceptions, including items in manual review queues
- Perform daily and monthly reconciliation of payment accounts
- Ensure all payment activities adhere to regulatory and internal compliance guidelines, including NACHA rules, HIPAA requirements, and company-specific controls
- Investigate and resolve discrepancies across multiple systems, including payment gateways, ledgering platforms, and claims processing systems
- Conduct production verification following releases
- Prepare operational reports on payment volumes, exception rates, and reconciliation status for internal stakeholders
- Collaborate with Product and Technology teams to identify platform defects, define operational requirements, and validate enhancements
- Coordinate with Finance, Engineering, and Compliance to resolve escalated payment issues
- Maintain and follow standard operating procedures; recommend process improvements
- Assist with audit support by providing documentation and transaction-level detail
Requirements:
- 5+ years of experience in payment operations, financial services, or healthcare claims/insurance operations
- Ability to translate operational pain points into clear requirements for Product and Technology teams, and to validate that delivered solutions meet operational needs
- Strong written and verbal communication skills with the ability to present complex operational information clearly to both technical and non-technical audiences
- Demonstrated ability to lead root cause investigations, ask incisive questions, and de-escalate high-pressure situations with internal and external stakeholders
- Track record of building effective working relationships across departments including Finance, Product, Engineering, and Compliance
- Advanced proficiency in Microsoft Excel, including complex formulas, pivot tables, VLOOKUP/XLOOKUP, data validation, macros/VBA, and large dataset management
- Proven ability to manage competing priorities in a fast-paced environment while maintaining accuracy and accountability
- Strong analytical and problem-solving skills with a bias toward process improvement and operational efficiency
- Ability to develop and deliver training materials and present to cross-functional teams
- Self-directed and proactive, with demonstrated ownership of outcomes and continuous improvement mindset
- Experience leveraging AI tools (e.g., ChatGPT, Claude, Copilot) to improve operational workflows, accelerate data analysis, automate repetitive tasks, or enhance decision-making in a professional setting
- Working knowledge of SQL for querying databases, building ad hoc reports, investigating data discrepancies, and supporting reconciliation workflows
- Experience with Jira, CRM platforms, and operational workflow tools; comfort learning and navigating new systems quickly
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