Manager, Healthcare IT – Technical Operations

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $120k - $140k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Own operational performance, service delivery outcomes, and customer satisfaction across assigned customer accounts • Lead day-to-day production support activities for healthcare payer environments, including core administrative systems, integrated applications, and vendor-supported solutions • Drive incident resolution, root cause analysis, customer escalations, and operational priorities • Manage incidents and service activities through Jira and ServiceNow • Coordinate issue resolution across internal technology teams, infrastructure teams, vendors, and business partners • Plan and oversee maintenance events, production changes, and system upgrades • Develop and present SLA, operational performance, and service health reporting to customers and internal leadership • Monitor service performance and proactively address issues affecting operational stability or customer outcomes • Participate in after-hours support activities as needed • Serve as a trusted operational advisor for assigned customer accounts • Lead governance forums, operational reviews, service reviews, and escalation discussions • Partner with customers to understand business priorities, operational challenges, and service delivery needs • Present operational metrics, trends, risks, and improvement recommendations to customer and internal stakeholders • Identify operational, technical, staffing, vendor, and service delivery risks and drive mitigation plans • Support operational readiness, capacity planning, compliance requirements, and business continuity activities • Ensure adherence to contractual, regulatory, and organizational requirements • Drive initiatives improving service quality, operational efficiency, customer experience, and SLA performance • Reduce recurring incidents and improve service delivery outcomes • Develop and enhance operational processes, governance practices, playbooks, and controls • Identify automation and process improvement opportunities • Support the development and continuous improvement of the service management portfolio for customer implementations • Partner with leadership on strategic operational and customer initiatives • Provide direct leadership, coaching, mentoring, and career development for team members • Conduct performance reviews, goal setting, feedback discussions, and performance management activities • Support hiring, onboarding, workforce planning, succession planning, and employee retention efforts • Manage staffing assignments, project staffing, resource allocation, and workload balancing across customer accounts • Build team capability through training, coaching, and knowledge sharing • Foster accountability, collaboration, continuous improvement, and customer focus • Coordinate with offshore teams and leadership to ensure effective service delivery • Report to the Director of Delivery Management and manage activities across a geographically dispersed team

🎯 Requirements

• Bachelor's degree or higher in Computer Science, Engineering, Information Technology, Business, or a related field, or an equivalent combination of education and experience • 6+ years of experience supporting or managing customer-facing production environments • 2+ years of experience leading, coaching, and developing employees in an operational, technical support, or service delivery environment • Experience managing employee performance, career development, staffing, and workforce planning activities • Experience leading customer-facing operational delivery functions, including delivery management and customer/account interaction • Experience working in a technical support role within a complex architecture environment • Experience managing the health of production application environments • Experience working with healthcare payer platforms, such as Facets, QNXT, or NASCO • Strong experience with service management, SLA tracking, operational reporting, and customer communications • Strong experience managing Sev1/Sev2 incidents, customer escalations, and operational risk • Experience participating in customer governance, service reviews, and operational planning discussions • Experience coordinating with internal technology teams, vendors, and business partners • Experience working in an onshore/offshore operating model • Experience managing projects, tasks, and deliverables • Experience with ITIL practices and software delivery; ITIL certification is a plus • Experience with ServiceNow and Jira Service Management • Practical knowledge of SOWs, SLAs, Change Requests, and service management processes • Experience with SQL required • Experience with healthcare EDI transactions required: 270, 271, 276, 277, 834, and 835 • Experience with ETL processing required • Experience with AWS/GCP desirable • Experience with SOAP desirable • Strong customer focus and ability to build trusted relationships • Strong leadership, communication, planning, coordination, and presentation skills • Ability to balance hands-on operational leadership with people leadership responsibilities • Availability during Eastern Standard Time and as needed after hours for critical incident management • Ability to travel up to 5% • Candidates may be required to complete a pre-employment criminal background check

🏖️ Benefits

• Remote work • Up to 5% travel • Equal opportunity employer • Reasonable accommodations for individuals with disabilities • Annual US base salary of $120,000–$140,000