Data Operations Lead

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $120k - $135k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

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.

📋 Description

• Execute and monitor production data and data exchange processes • Execute standard operating procedures on daily, weekly, monthly, quarterly, and yearly schedules • Assist with implementing and refining SOPs for routine service delivery • Troubleshoot issues and provide timely notifications • Monitor normal production processes and issue-resolution progress • Communicate results and issues according to team standards • Shift focus between clients and processes to meet production needs • Balance incoming requests with scheduled work • Answer questions and supply information to internal and external personnel • Assist with outage resolution, post-weekend patching validation, and rollover activities • Support projects and teams to produce desired results • Develop and maintain effective relationships with internal and external customers

🎯 Requirements

• Bachelor’s degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field; relevant combination of education and experience may be considered in lieu of degree • Five or more years of experience in a related field, typically in at least two of: health care information technology, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management • Experience in healthcare is highly preferred • Strong analytical, planning, problem solving, verbal, and written skills to communicate complex ideas • Intermediate SQL Server/Transact SQL skills • Ability to monitor jobs in Control M, analyze issues, and order jobs when needed • Strong ability to work independently and direct the efforts of others • Experience working in a Healthcare claims platform is highly preferred • Experience with MS SQL, Oracle, and Control M, and willingness to work on other technologies • Strong knowledge and use of PowerPoint, Excel, Word, and similar software packages • Ability to work independently, within a team environment, and communicate effectively with employees and clients at all levels • Willingness to work in a 24x7 shift model • Candidates may be required to complete a pre-employment criminal background check

🏖️ Benefits

• Continuous learning, as defined by the Company’s learning philosophy • Certification or progress toward certification is highly preferred and encouraged • Hybrid or remote work environment • May require travel dependent on company needs

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