Healthcare Management Administrators · 3 months ago
Sr. Manager, Technical Operations
Bellevue, Washington, United States
Full-time
Hybrid
Senior LevelHealthcare Management Administrators (HMA) is a leading third-party health plan administrator in the PNW, dedicated to providing customized health plans to medium and large employers. The Technical Operations Manager will oversee the operational integrity of systems related to healthcare eligibility and enrollment, ensuring compliance and driving continuous improvement in technical workflows.
Health CareInsurance
Responsibilities
Oversee daily operations related to eligibility and enrollment data, focusing on 834 EDI file processing and reconciliation
Manage, lead, and mentor a diverse team of EDI Specialists, Analysts, and Developers as well as Managers overseeing our Plan Build, Enrollment, and Pricing teams
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
Required
Oversee daily operations related to eligibility and enrollment data, focusing on 834 EDI file processing and reconciliation
Manage, lead, and mentor a diverse team of EDI Specialists, Analysts, and Developers as well as Managers overseeing our Plan Build, Enrollment, and Pricing teams
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
Benefits
Comprehensive salary
Pay transparency
Benefits
Time off package
Personal development and growth opportunities
Company
Healthcare Management Administrators
HMA is Proving What's Possible in Healthcare®.
Founded in 1986
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Lindsay Harris
Board Member
Recent News
2025-09-30
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