Director of Payment Underwriting and Risk

The Role

Title: Director of Payment Underwriting and Risk

Team: Payments

Location: San Diego, CA / Remote

Reports To: General Manager, Payments

About PracticeTek

Stop scrolling—your dream job might just be here! At PracticeTek, we don’t do ordinary, we do bold ideas, big impact, and endless opportunities to grow. Imagine working with teammates who celebrate your wins, challenge you to think bigger, and cheer you on every step of the way. Imagine building solutions that actually change lives and reshape how healthcare works. That’s the vibe here: high-energy, high-impact, and 100% human. Ready to jump in? Let’s go.

We’re on a mission to revolutionize healthcare practices effortlessly and we live out our brand promise every day: being the Trusted Partner in retail healthcare.

PracticeTek is one of the largest retail-healthcare tech providers in North America, offering everything a practitioner would need, from pre-encounter workflows to practice management, analytics, digital intake forms, marketing tools, EHRs, and payment systems, for a whopping 40,000+ clinics worldwide. Over the years, we’ve brought together the best-in-class platforms that serve the Chiropractic, Wellbeing, Vision and Dental providers and their patients; and we are united by one mission, to revolutionize retail healthcare practices effortlessly.

Here, you’ll have the flexibility to contribute across multiple brands, each offering a unique path for growth. Whether you’re building products, supporting customers, or driving strategy, your journey with PracticeTek is full of opportunity.

We believe in showing up with consistent care, staying always ahead, keeping our approach market-in, making every experience feel effortless, owning it openly, and striving to do right in every decision. These aren’t just words-they’re how we live, work, and make an impact together.

What You’ll Do

As the Director of Payment Underwriting and Risk, you will lead the underwriting, risk, and funding functions that power our payment facilitator business. Here’s how you’ll help us bring our mission to life and show up as a Trusted Partner:

• Develop and execute merchant underwriting policies aligned with sponsor bank and card brand standards.
  - Oversee merchant onboarding, credit and fraud risk assessments, and approval workflows.
  - Establish and maintain transaction monitoring, fraud detection, and credit risk frameworks.
  - Own end-to-end funding operations, including settlements, reserves, and reconciliation.
  - Build and mentor high-performing teams across underwriting, risk, and funding.
  - Serve as primary liaison with sponsor banks, processors, and networks.
  - Leverage analytics and data to drive decision-making and continuous improvement.

How Success is Measured

Here’s how we’ll know you’re making an impact and raising the bar:

• Underwriting SLAs: 95% of merchants underwritten within agreed timelines.
  - Portfolio Risk: Maintain chargeback ratios and fraud losses within approved thresholds.
  - Funding Operations: ≥99.9% accuracy in merchant settlements with on-time delivery.
  - Compliance: 100% adherence to KYC/AML, PCI, sponsor bank, and card brand requirements.
  - Leadership: Maintain ≥85% employee engagement scores and strong cross-functional collaboration ratings.

What You Bring

Your unique talents are what make you shine. For this role, success looks like:

• 5+ years in payment operations, underwriting, or risk, with at least 2 years in leadership roles.
  - Direct experience in a payment facilitator, acquirer, or sponsor bank environment.
  - Strong understanding of card brand rules, NACHA/ACH, KYC/AML, PCI compliance, and PayFac obligations.
  - Proven track record building scalable underwriting, risk, and funding operations.
  - Excellent leadership, communication, and cross-functional collaboration skills.

Ready to Join?

If you’re excited to bring your ideas, energy, and expertise to a team that’s shaping the future of healthcare, we can’t wait to hear from you. Apply today and let’s make healthcare simpler, smarter, and Better. Together.

The Fine Print (That Really Matters)

At PracticeTek, we determine compensation by considering market data, internal equity, and each candidate’s skills and experience. For this position, we reasonably expect to pay between $150,000-$205,000. This role is also eligible for benefits, including health, dental, vision, paid time off, 401(k) with company match, and may be eligible for additional compensation such as bonuses or equity, as applicable.

PracticeTek is an Equal Opportunity Employer. We are committed to creating an inclusive environment where all employees feel valued and supported. All qualified applicants will receive fair treatment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, age, disability, veteran status, genetic information, marital status, uniformed service status, or any other characteristic protected under applicable law.

This job description is not a contract of employment and does not alter the at-will relationship between PracticeTek and its employees.