Manager, Technical Operations

Healthcare Management Administrators • Bellevue, WA

77d • $96,000 - $118,000

About The Position

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.

Requirements

• Bachelor’s degree in Information Technology, Computer Science, or a related field.
• 5+ years of experience in technical operations, preferably within healthcare or insurance.
• Strong understanding of ANSI X12 834 file format and EDI transaction sets (e.g., 820, 999).
• Experience with enrollment platforms such as HealthEdge, Mphasis or Facets.
• Familiarity with real-time editing systems and custom rule development. Edifecs experience preferred.
• Background in healthcare member eligibility operations.
• Skilled at building relationships and moving projects forward with diverse audiences who have competing priorities.
• Strong problem-solving and analytical skills.
• Strong organization skills.
• Strong leadership skills in keeping projects on schedule.

Responsibilities

• Oversee daily operations related to eligibility and enrollment data, focusing on 834 EDI file processing and reconciliation.
• Manage and optimize technical systems that support enrollment operations.
• Collaborate with IT and business teams to ensure accurate and timely transmission of 834 files to and from trading partners.
• Develop and maintain custom rule sets and real-time editing logic to support enrollment integrity.
• Lead troubleshooting efforts for file transmission errors, data mismatches, and system performance issues.
• Ensure compliance with HIPAA and other regulatory standards related to EDI transactions.
• Create and maintain dashboards and reporting tools to monitor file processing metrics and operational KPIs.
• Coordinate with vendors and service providers to resolve technical issues and enhance system capabilities.
• Provide technical leadership and mentorship to a team of analysts and support staff.
• Document processes, workflows, and system configurations related to eligibility operations.
• Facilitate collaboration across multidisciplinary teams using tools such as Teams, SharePoint, and advanced workflow integrations.

Benefits

• Seventeen (IC) days paid time off (individual contributors)
• Eleven paid holidays
• Two paid personal and one paid volunteer day
• Company-subsidized medical, dental, vision, and prescription insurance
• Company-paid disability, life, and AD&D insurances
• Voluntary insurances
• HSA and FSA pre-tax programs
• 401(k)-retirement plan with company match
• Annual $500 wellness incentive and a $600 wellness reimbursement
• Remote work and continuing education reimbursements
• Discount program
• Parental leave
• Up to $1,000 annual charitable giving match

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree
• Number of Employees: 101-250 employees