You will manage a team of ~6 engineers across the full payments surface, reading insurer payment files, matching them to the right claims, recording money on visits, reconciling with bank deposits, calculating patient balances and collections, and partnering with the team that builds the financial reports clinics rely on. Own quarterly planning and goals; break large initiatives into small, shippable steps (better matching, higher bank match rates, faster/safer recording, fewer patient-balance surprises, clearer reporting handoffs).