Healthcare IT Technical Operations Lead (Edifecs)
概述 HealthEdge®为医疗保险公司提供人工智能驱动的运营基础设施,确保在日益竞争激烈的市场中持久的财务优势。我们正在经历强的市场动力,越来越多的健康计划选择了 HealthEdge 以现代化其业务并更有效地竞争。随着我们的扩张,我们正在投资推动这一增长的人类,这使得加入我们和塑造医疗保健技术未来的一个关键时刻。在 HealthEdge.com 了解更多信息。作为卫生保健 IT 技术运营领导者,你将负责:· 对技术交付的经营卓越管理 · 为客户和管理及时生成 SLA/操作报告 · 推动问题解决和事故根源分析 ·管理中型健康计划的日常生产支持,包括对核心行政系统 (注册,索赔,裁决和支付)的支持,周围应用程序/产品以及下游和上游供应商 ·解决在生产中的 Edifecs 和 EDI 问题 · 推动客户调用和优先事项 · 将日常运营事件和问题放在首位 · 在像 JIRA/Service Now 这样的服务管理系统中管理事件。·与网络,中间件,硬件,操作系统,DB 和外部应用组进行变化和问题的处理活动 · 规划多家供应商之间的系统维护和升级事件 ·升级解决方案 本职位描述确定了通常与职位的执行相关的责任和任务。可能需要其他相关基本功能。你所需的是:· 相关领域士学位 · 最少6年经验管理面临中型至大型生产支持环境的客户 · 与医疗保健支付平台 (例如 Facets, QNXT, NASCO)的强大经验 · 服务管理,SLA 跟踪和向客户和管理提供运营报告的强大的经验 · EDIFECS/MoveIt 的实践经验强大· 卫生保健 EDI 的实践体验强大 (如 270, 27).
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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.
**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.
Originally posted on Himalayas