Payment Operations Specialist

We were tired of hearing that healthcare is broken, so we decided to do something about it. At Nomi Health, we believe the care itself isn’t broken — it’s the business of healthcare that gets in the way. Every year, more than $1 trillion is wasted on paperwork, delays, and middle layers that drive up costs and keep people from the care they need.    We’re rebuilding the system so it works the way it should: clear prices you can trust, faster payments that keep providers focused on patients, and data that helps employers make better decisions. Our work has already touched more than 30 million lives — from local communities in Michigan to some of the largest companies in the country. 

Role Summary

The Senior Payment Operations Specialist is responsible for the accurate and timely execution of payment operations processes, ensuring compliance with service level agreements and supporting the integrity of financial transactions across the organization. This role partners closely with Product and Technology teams to drive platform stability and enhancement.

Key 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 (payment gateways, ledgering platforms, claims processing systems)
• Conduct production verification following releases
• Prepare operational reports on payment volumes, exception rates, and reconciliation status to internal stakeholders
• Collaborate with Product and Technology teams to identify platform defects, define operational requirements, and validate enhancements that improve reliability and efficiency
• Coordinate with cross-functional teams (Finance, Engineering, Compliance) to resolve escalated payment issues
• Maintain and follow standard operating procedures; recommend process improvements where appropriate
• Assist with audit support by providing documentation and transaction-level detail as needed

Required Skills & Qualifications:

• 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