Payments Operations Leader: Compliance & Reconciliation

Nomi Health; Chicago, Northern (IL, KY); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Nomi Health in Chicago seeks a Senior Payment Operations Specialist to ensure accurate and timely payment processing while maintaining compliance with NACHA, HIPAA, and internal controls. You will partner with Product and Technology to enhance platform stability and efficiency.

The role requires 5+ years in payment operations or healthcare payments, strong Excel skills, and ability to translate operations needs into clear technical requirements.

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.
• Strong written and verbal communication with technical and non-technical audiences.
• Demonstrated ability to lead root cause investigations and de-scale high-pressure situations.
• Proven ability to build cross-functional relationships across Finance, Product, Engineering, and Compliance.
• Advanced proficiency in Microsoft Excel, including complex formulas, pivot tables, VLOOKUP/XLOOKUP, data validation, macros/VBA, and large datasets.

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

Skills

Excel proficiency

Communication skills

Root cause analysis

Cross-functional collaboration

Process improvement

Tools

Jira

CRM platforms

SQL

Job description

Nomi Health in Chicago seeks a Senior Payment Operations Specialist to ensure accurate and timely payment processing while maintaining compliance with NACHA, HIPAA, and internal controls. You will partner with Product and Technology to enhance platform stability and efficiency.

The role requires 5+ years in payment operations or healthcare payments, strong Excel skills, and ability to translate operations needs into clear technical requirements.