Sr. Manager, Technical Operations

Healthcare Management Administrators•Bellevue, WA

16d•$127,000 - $149,000•Hybrid

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. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/ How YOU will make a Difference: The Technical Operations Manager will lead and manage the operational integrity of systems supporting healthcare eligibility and enrollment. This role ensures seamless data exchange between internal systems and external trading partners, supports compliance with regulatory requirements, and drives continuous improvement in technical workflows.

Requirements

Bachelor’s degree in Information Technology, Computer Science, or a related field.
7+ years of experience in technical operations, preferably within healthcare or insurance.
5 years minimum managing a high performing team with diverse responsibilities
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.
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

Nice To Haves

Edifecs experience preferred

Responsibilities

Oversee daily operations related to eligibility and enrollment data, focusing on 834 EDI file processing and reconciliation.
Manage, lead, and mentor a diverse team of EDI Specialists, Analysts, and Developers as well as Managers overseeing our Plan Build, Enrollment, and Pricing teams.
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

comprehensive salary
pay transparency
benefits, and time off package with plenty of personal development and growth opportunities
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