Healthcare IT Technical Operations Lead (Edifecs)

Overview

HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.

Healthedge is searching for a highly motivated Healthcare IT Technical Operations Lead to join our team. The IT Technical Operations Lead position will be instrumental in planning, coordinating and streamlining operational needs for customer facing technology delivery operations, guided by Healthedge’s values.

As a Healthcare IT Technical Operations Lead at Healthedge, you will be accountable for the following:

Manage operational excellence for technology delivery

Timely generation of SLA/ Operational reports to customers and management

Driving issue resolution and root cause analysis for incidents

Manage day to day production support for a mid-size HealthPlan including support of core administrative systems (enrollments, claims, adjudication and payments), surrounding applications/products and downstream and upstream vendors

Addressing Edifecs and EDI issues in production

Driving customer calls and priorities

Prioritize daily operational events and issues

Managing incidents in the service management systems like JIRA/Service Now.

Manage change and issue resolution activities with network, middleware, hardware, OS, DB, and external application groups

Plan system maintenance and upgrade events across multiple vendors

Customer escalation resolution

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What You Need:

Bachelor’s degree in a related field

Minimum of 6 years’ experience managing a mid to large size customer facing production support environment

Strong experience working with healthcare payer platforms (e.g., Facets, QNXT, NASCO)

Strong experience with service management, SLA tracking and operational reporting to customers and management

Strong hands-on experience with EDIFECS/MoveIt required

Strong hands-on experience with Healthcare EDI required (e.g. 270, 271, 276, 277, 834, 835)

Experience managing health of production application environments

Experience working in a technical support role in complex architecture environment

Experience with SQL required

Experience with Cloud AWS/GCP desirable

Experience with SOAP desirable

Experience ETL processing desirable

Understanding of ITIL practices and software delivery

ITIL certification or strong working knowledge of ITIL-based operations.

Practical knowledge of working with SOWs, SLAs, and Change Requests

Experience working with SaaS providers and HealthEdge applications is a plus

Experience in delivery management and customer partner or account interaction is a must

Experience working in an onshore/offshore model is a must

Role Location: Remote

Working Hours: Eastern Standard Time

Travel: Up to 5%

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

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** The annual US base salary range for this position is $90,000 to $120,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.