Manager, Technical Operations jobs in United States
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Healthcare Management Administrators · 3 months ago

Manager, Technical Operations

positionBellevue, WA
timeFull-time
remoteHybrid
seniorityMid, Senior Level
money$96K/yr - $118K/yr
date5+ years exp

Healthcare Management Administrators (HMA) is a premier third-party health plan administrator across the PNW and beyond. The Technical Operations Manager will lead the operational integrity of systems supporting healthcare eligibility and enrollment, ensuring seamless data exchange and compliance with regulatory requirements.

Health CareInsurance

Responsibilities

Oversee daily operations related to eligibility and enrollment data, focusing on 834 EDI file processing and reconciliation
Manage and optimize technical systems that support enrollment operations
Collaborate with IT and business teams to ensure accurate and timely transmission of 834 files to and from trading partners
Develop and maintain custom rule sets and real-time editing logic to support enrollment integrity
Lead troubleshooting efforts for file transmission errors, data mismatches, and system performance issues
Ensure compliance with HIPAA and other regulatory standards related to EDI transactions
Create and maintain dashboards and reporting tools to monitor file processing metrics and operational KPIs
Coordinate with vendors and service providers to resolve technical issues and enhance system capabilities
Provide technical leadership and mentorship to a team of analysts and support staff
Document processes, workflows, and system configurations related to eligibility operations
Facilitate collaboration across multidisciplinary teams using tools such as Teams, SharePoint, and advanced workflow integrations

Qualification

ANSI X12 834EDI transactionsEnrollment platformsTechnical operationsHealthcare experienceAnalytical skillsProblem-solvingLeadership skillsOrganizational skills

Required

Bachelor's degree in Information Technology, Computer Science, or a related field
5+ years of experience in technical operations, preferably within healthcare or insurance
Strong understanding of ANSI X12 834 file format and EDI transaction sets (e.g., 820, 999)
Experience with enrollment platforms such as HealthEdge, Mphasis or Facets
Familiarity with real-time editing systems and custom rule development
Background in healthcare member eligibility operations
Skilled at building relationships and moving projects forward with diverse audiences who have competing priorities
Strong problem-solving and analytical skills
Strong organization skills
Strong leadership skills in keeping projects on schedule

Preferred

Edifecs experience preferred

Benefits

Seventeen (IC) days paid time off (individual contributors)
Eleven paid holidays
Two paid personal and one paid volunteer day
Company-subsidized medical, dental, vision, and prescription insurance
Company-paid disability, life, and AD&D insurances
Voluntary insurances
HSA and FSA pre-tax programs
401(k)-retirement plan with company match
Annual $500 wellness incentive and a $600 wellness reimbursement
Remote work and continuing education reimbursements
Discount program
Parental leave
Up to $1,000 annual charitable giving match

Company

Healthcare Management Administrators

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HMA is Proving What's Possible in Healthcare®.
dateFounded in 1986
location
Bellevue, Washington, USA
people-size201-500 employees
web-link
https://www.accesshma.com

Funding

Current Stage
Growth Stage

Leadership Team

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Lindsay Harris
Board Member
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Recent News

PR Newswire
Healthcare Management Administrators Names Libby Moore as Chief People Officer
2025-09-30
PR Newswire
Healthcare Management Administrators, Inc. (HMA) named one of Washington's Best Workplaces for 2025 by Puget Sound Business Journal
2025-08-29
PR Newswire
Healthcare Management Administrators (HMA) Appoints Erik Hinniger as Chief Financial Officer
2024-11-06
Company data provided by crunchbase