Eligibility Operations Manager

Foodsmart

5d•$130,000 - $160,000•Remote

About The Position

As an Eligibility Operations Manager, you will serve as the bridge between our partnerâs business requirements and technical solutions. You will work with internal and external business and technical teams to map member workflows and requirements in order to deliver a high quality customer onboarding experience. This role is critical to ensuring our solution is optimized to meet our partnerâs business objectives.

Requirements

Motivated, collaborative, a quick learner, and results-oriented
Experienced leading matrixed internal and external teams through complex projects
Able to work quickly to adapt to new challenges and deliver results with minimal oversight
Comfortable in a dynamic work environment with a passion for impacting health outcomes at scale
A strategic thinker able to proactively identify and resolve complex issues in an evolving environment
Knowledgeable about how health plans serve members across Medicare, Medicaid, and Commercial lines of business
8+ years of experience in an analytics, implementation, client services, or operations role at a in healthcare services or technology company
Strong verbal and written communication skills with the ability to synthesize complex information and facilitate conversations between technical and non-technical audiences
Strong problem solving skills, capable of identifying root causes and evaluating potential solutions with intrinsic motivation to move work forward
Working knowledge of eligibility file import ETLs and healthcare file formats such as 834 or HL7
Working knowledge of MySQL or PostgresSQL
Working knowledge of SSO technologies such as SAML 2.0 and OAuth 2.0
Bachelor's degree is required; Masters in Science, Technology, or Operations field is a plus

Nice To Haves

Experience in a startup or small company environment
Understanding of the telehealth and nutrition spaces

Responsibilities

Work cross-functionally with Sales, Client Development, Member Outreach, Product, Engineering, Clinical Operations, Support, Revenue Cycle, and Analytics to ensure a smooth partner onboarding experience.
Own client eligibility file setup, ongoing monitoring, and accuracy including file processing and issue resolution.
Own client QA processes ensuring accuracy and on-time launches.
Document client business requirements and serve as liaison with internal and external technical teams.
Lead client conversations about data integrations, configuration requirements, member workflows, and benefit design during pre-sales scoping and implementation discussions.
Identify and escalate risks to a successful implementation and delivery or ongoing partnership, pivoting to ensure bottlenecks are addressed in a timely manner.