Manager, Data Operations Integrations
About The Position
The Manager, Data Operations is responsible for overseeing one or more functional areas within Data Operations, ensuring operational excellence and project execution in that area. The Manager, Data Operations must maintain a high-level understanding of the company workflows and departmental interdependencies to make educated decisions on best practice policies & procedures. The Manager, Data Operations must be able to perform any task that the team is required to perform and will be able to assist with or complete such tasks as needed. As Manager, Data Operations, you will also be accountable for working with internal teams do improve products and processes for the Data Operations team.
Requirements
- An associate or bachelor’s degree is preferred, but not required
- 3+ years of experience with healthcare related EDI transactions, including 834, 835, 837, 270/271, 276/277 (TPA Roles only)
- 3+ years of claims adjudication systems like QicLink, Eldorado, GIAS, etc (TPA Roles only)
- 4+ years of experience in the Healthcare Industry preferred
Responsibilities
- Manage the teams responsible for ingesting, processing, and/or delivering files across the enterprise
- Set clear standards and measurements to ensure the team understands how success is measured and if we’re meeting those expectations
- Coordinating with Team Leads and Individual Contributors to understand the “why” behind performance trends, scaling out winning solutions and solving business challenges as needed
- Collaborate with cross-functional teams to identify, validate, and clarify business requirements for new client implementation, issue resolution, renewals, and change requests.
- Collaborate with cross-functional teams to identify, validate, and clarify business requirements for new or enhanced Product features across the business.
- Ensuring all current and potential leaders are provided sufficient direction and support to learn and grow their own leadership skills
- Own sections of our Data Pipeline, establishing clear handoffs, monitoring processes, quality controls, and workflow management standards to ensure world-class Data Quality and Availability
- Accountable for the team’s management of comprehensive documentation of data analysis and data engineering processes, architecture, and workflows.
- Designing, building, and maintaining data pipelines, data models, and data solutions.
- Analyze the mapping of insurance claims, import/export files, and eligibility files for troubleshooting any operational inquiry
- Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues
- Coordinates ongoing client implementation and/or EDI testing, implementations, and upgrades
- Ensure that business requirements are translated into actionable solutions that align with organizational goals, leveraging expertise to bridge the gap between needs and implementable solutions
- Creates ad hoc SQL queries to support Operations
- Build and maintain file transmissions through file transfer tools, i.e GoAnywhere, MoveIt, etc
Benefits
- Competitive base salary and benefits effective day one
- Comprehensive medical and dental through our own health solutions
- Unlimited PTO—rest and recharge time is non-negotiable
- Mental health support, retirement planning, and financial protection
- Professional development with clear career progression and learning budgets
- Mission-driven culture where diverse perspectives drive real impact on people's health
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
