
Healthcare Insurance • SaaS • Fintech
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
1001 - 5000 employees
Founded 2005
⚕️ Healthcare Insurance
☁️ SaaS
💳 Fintech
November 5

Healthcare Insurance • SaaS • Fintech
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
1001 - 5000 employees
Founded 2005
⚕️ Healthcare Insurance
☁️ SaaS
💳 Fintech
• Directly manage a team of 5-8 Upgrade Project Managers across product lines • Be a creative, driven and supportive leader continually driving improved service and greater operational efficiencies and performance • Lead, manage, and drive results in collaboration with remote team members across the US and India • Be driven to learn and understand customers need to improve their experience of product upgrades and service request delivery • Balance competing priorities internally and assist team in removing roadblocks and barriers to progress • Manage backlog of customer service requests for a given set of clients; partner with peers to balance resources and issues as needed to expedite delivery • Identify process gap improvements and steps to avoid recurrence of problems • Mentor team members pertaining to career development, customer support skills, career growth, and various needs or concerns as raised by the team • Conduct quarterly performance reviews that are aligned to the team’s goals and work performance • Interview and hire of new team members to scale with company growth • Perform all job functions consistent with HealthEdge policies and procedures, including those which govern handling PHI and PII • All other duties as assigned.
• Bachelor’s degree in Computer Science, Engineering, or related field, PMP certification is a plus • 7+ years of experience in Customer facing delivery or technical support or related field • 3+ years of experience in managing customer facing project management teams • Excellent written and oral communication skills with the ability to articulate concepts to a variety of audiences • Comfortable communicating and driving next steps in escalated situations • Experience leading and maintaining team engagement in a remote work environment • Self-motivated and driven to impact change across the team • Comfortable working in a fast-paced, changing environment • Experience with healthcare applications, SaaS solutions, and cloud technologies • Solid understanding/experience of Project Management tools (Smartsheet is a plus) • Strong knowledge of industry business practices and value offerings. • Demonstrated leadership skills • Ability to work collaboratively with cross-functional teams • Job requires flexibility to provide 24x7 on call client support on rotational basis
• HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. • We aspire to have an inclusive workplace. • We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.
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