Manager, Data Operations Integrations

Job not on LinkedIn

🔥 3 minutes ago

🌵 Arizona – Remote

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💵 $135k - $160k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Data Scientist

👻 Ghost score 0%

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Logo of Personify Health

Personify Health

1001 - 5000 employees

Founded 2023

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Personify Health is the first personalized health platform company, designed to empower individuals and organizations to achieve better health outcomes through tailored solutions and services. They offer a comprehensive range of solutions including wellbeing navigation, care management, and health plan administration, catering to employers, health systems, health plans, and brokers. Their goal is to simplify healthcare experiences and enhance engagement, ultimately helping businesses optimize their investment in employee health and wellbeing.

📋 Description

• Manage teams responsible for ingesting, processing, and/or delivering files across the enterprise • Set clear standards and measurements for team performance • Coordinate with Team Leads and Individual Contributors to understand performance trends and solve business challenges • Collaborate with cross-functional teams on business requirements for client implementations, issue resolution, renewals, and change requests • Collaborate on requirements for new or enhanced product features • Provide direction and support for leadership development • Own sections of the data pipeline, including handoffs, monitoring, quality controls, and workflow management • Oversee comprehensive documentation of data analysis and data engineering processes, architecture, and workflows • Design, build, and maintain data pipelines, data models, and data solutions • Analyze mappings of insurance claims, import/export files, and eligibility files for troubleshooting • Identify technical issues from improper enrollment or enrollment changes on EDI files and coordinate resolution with engineering partners • Coordinate client implementation and EDI testing, implementations, and upgrades • Translate business requirements into actionable solutions aligned with organizational goals • Create ad hoc SQL queries to support Operations • Build and maintain file transmissions through file transfer tools such as GoAnywhere and MoveIt

🎯 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 • Experience with insurance claims, import/export files, and eligibility files • Experience with electronic data interchange (EDI) files • SQL query experience • Experience with file transfer tools such as GoAnywhere and MoveIt • Ability to design, build, and maintain data pipelines, data models, and data solutions • Ability to manage data pipeline handoffs, monitoring processes, quality controls, and workflows

🏖️ Benefits

• Competitive base salary and benefits effective day one • Comprehensive medical and dental through our own health solutions • Unlimited PTO • Mental health support • Retirement planning • Financial protection • Professional development with clear career progression and learning budgets • Mission-driven culture where diverse perspectives drive real impact • Wellness programs • Other employee perks

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