Treasury and Reconciliation Lead

Company Description

Tres Health is redefining healthcare with innovative solutions aimed at transforming the industry. The company specializes in providing nationwide ACA-compliant alternative health plans, supplemental GAP insurance, and advanced digital health technologies. Committed to elevating access to quality care while driving cost-efficiency, Tres Health delivers solutions designed to meet diverse needs.

The organization is dedicated to creating impactful healthcare models that empower individuals and organizations alike.

Position Summary

We are seeking a
Treasury & Reconciliation Lead
to oversee daily cash activity, bank account monitoring, and reconciliation across all billing and claims-related accounts.

This role is responsible for ensuring all cash movements are accurately tracked, applied, and reconciled across systems, while maintaining strong controls over banking processes.This individual will serve as the central point of accountability for cash visibility, reconciliation accuracy, and banking operations, including positive pay, exceptions handling, and reporting.

Essential Duties & Responsibilities

Daily Cash Monitoring & Application
• Monitor all bank accounts daily, including settlement and claims accounts.
• Track incoming and outgoing transactions and ensure timely visibility of cash activity.
• Oversee and/or perform cash application across systems, ensuring payments are accurately posted to the correct invoices or accounts.
• Investigate and resolve unapplied or unidentified cash.

Reconciliation & Controls
• Perform daily and monthly reconciliations across multiple bank accounts:
• Ensure all transactions are accounted for and properly reflected across systems.
• Identify discrepancies and drive resolution, including missing transactions, duplicates, or timing differences.
• Maintain a clear view of outstanding items and account balances at all times.
• Manage and support non-standard payment activities, including reimbursements and adjustments, ensuring all transactions are accurately processed, tracked, and reconciled.

Banking Operations
• Manage Positive Pay processes.
• Initiate and manage stop payments as needed.
• Partner with banking institutions to resolve issues, investigate transactions, and improve processes.
• Monitor and track bank fees, exceptions, and operational issues.

Reporting & Visibility
• Develop and maintain reporting on:
• Daily cash position
• Account balances and composition
• Outstanding/unreconciled items
• Provide clear, actionable insights to finance and leadership.
• Support audit and internal reporting needs.

Process Ownership & Improvement
• Establish and maintain reconciliation processes, controls, and documentation.
• Identify gaps in cash tracking, reconciliation, and system alignment, and implement improvements.
• Create structure and consistency across cash operations workflows.
• Partner with Billing, Finance, and external vendors to ensure alignment across systems and processes.
• Identify gaps in cash tracking, reconciliation, and banking workflows, and design and implement processes and controls to ensure accuracy, visibility, and consistency across accounts and systems.

Minimum Qualifications
• 4–7+ years of experience in treasury, cash management, or bank reconciliation.
• Strong understanding of bank operations, cash application, and account reconciliation.
• Experience managing multiple bank accounts and high transaction volumes.
• Ability to identify and resolve discrepancies across systems.
• Strong process ownership mindset with the ability to identify gaps, implement controls, and create structured, scalable workflows. Advanced Excel skills, including data analysis, reconciliations, and working with large datasets.
• Strong attention to detail and ability to maintain accurate, real-time visibility of cash.
• Ability to operate independently and take ownership of processes.
• Advanced reconciliation skills with the ability to independently tie out complex, high-volume transactions across systems, identify and resolve discrepancies, and maintain an accurate, real-time view of account balances

Preferred Experience
• Experience in healthcare, insurance, or TPA environments
• Familiarity with Positive Pay, ACH processes, and banking platforms (e.g., Bank of America, Wells Fargo).
• Experience working across multiple systems and data fee

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