200+ applicants

Company

Personify Health · 5 days ago

Manager of Technical Operations

United States

Full-time

Remote

Mid, Senior Level

$108K/yr - $125K/yr

5+ years exp

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ConsultingElectronic Health Record (EHR)

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Responsibilities

Maintain an understanding of the workflows between operational departments

Coordinate with internal teams regarding process/workflow changes

Manage and support the team of Coordinators, Specialists, and Senior Specialists

Collaborate with cross-functional teams to identify, validate, and clarify business requirements, ensuring a comprehensive understanding of needs and expectations so that changes for existing clients or new client are implemented seamlessly

Communicates status of ongoing tasks on a regular basis to other organizational leaders as needed

Analyze the mapping of insurance claims, import/export files, and eligibility files for troubleshooting any operational inquiry

Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues

Coordinates ongoing EDI testing, implementations, and upgrades

Ensure that business requirements are translated into actionable solutions that align with organizational goals, leveraging expertise to bridge the gap between needs and implementable solutions

Creates ad hoc SQL queries to support Operations

Build and maintain file transmissions through file transfer tools, i.e GoAnywhere, MoveIt, etc

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

System AnalysisData AnalysisProcess ImprovementHealthcare Industry ExperienceHealthcare EDI TransactionsClaims Adjudication SystemsMicrosoft Office SuiteData Analysis ToolsJIRA

Required

5+ years of experience with system analysis, data analysis, and/or process improvement

3+ years of experience in the Healthcare Industry

2+ years of experience with healthcare related EDI transactions, including 834, 835, 837, 270/271, 276/277

2+ years of claims adjudication systems like QicLink, Eldorado, GIAS, etc

Excellent critical thinking skills

Detail Oriented

Strong analytical and problem-solving skills

Intermediate to Advanced knowledge of Microsoft Office Suite, i.e Excel, Outlook, Word, etc

Demonstrated track record of successfully analyzing data, gathering requirements, and providing valuable insights and solutions to support business decision-making.

Competence in using various data analysis tools, such as Excel, SQL, Tableau, Power BI, or other relevant software

Experience with JIRA

Excellent communication skills to interact with cross-functional teams, articulate complex information to diverse stakeholders, and present findings in a clear and understandable manner.

Ability to work collaboratively, facilitate discussions, and negotiate requirements among various teams