Healthcare IT Technical Operations Lead

HealthEdge•Remote,
•$80,000 - $110,000•Remote

About The Position

HealthEdge is seeking a highly motivated IT Technical Operations Lead to plan, coordinate, and streamline operational needs for customer-facing technology delivery operations. The role is accountable for operational excellence and day-to-day production support for a mid-size health plan, including core administrative systems for enrollment, claims, adjudication, and payments, along with surrounding applications and upstream and downstream vendors. The position also involves customer communication, service-level reporting, incident management, issue resolution, change coordination, system maintenance planning, and customer escalations. This is a full-time, permanent remote position in the United States. Work may span multiple time zones and may require travel based on company needs.

Requirements

  • Bachelor’s degree in a related field.
  • At least 6 years of experience managing a mid- to large-size customer-facing production support environment.
  • Strong experience working with healthcare payer platforms such as Facets, QNXT, or NASCO.
  • Strong experience with service management, SLA tracking, and operational reporting to customers and management.
  • Strong experience with file transfer management solutions such as MoveIt or EDIFECS.
  • Experience setting up processes using service management tools; ServiceNow and Jira Service Management are preferred.
  • Experience managing the health of production application environments.
  • Experience in a technical support role in a complex architecture environment.
  • SQL experience.
  • Understanding of ITIL practices and software delivery.
  • ITIL certification or strong working knowledge of ITIL-based operations.
  • Practical knowledge of SOWs, SLAs, and Change Requests.
  • Experience in delivery management and customer partner or account interaction.
  • Experience working in an onshore/offshore model.

Nice To Haves

  • Healthcare EDI experience, such as 270, 271, 276, 277, 834, or 835.
  • Experience with AWS or GCP cloud platforms.
  • Experience with SOAP.
  • Experience with ETL processing.
  • Experience working with SaaS providers and HealthEdge applications.

Responsibilities

  • Manage operational excellence for technology delivery.
  • Generate SLA and operational reports for customers and management in a timely manner.
  • Drive incident issue resolution and root cause analysis.
  • Manage day-to-day production support for a mid-size health plan, including core administrative systems, surrounding applications and products, and upstream and downstream vendors.
  • Lead customer calls and manage priorities.
  • Prioritize daily operational events and issues.
  • Manage incidents in service management systems such as JIRA and ServiceNow.
  • Coordinate change and issue resolution with network, middleware, hardware, operating system, database, and external application groups.
  • Plan system maintenance and upgrades across multiple vendors.
  • Resolve customer escalations.
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