Data Operations Lead

Overview

HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.

The Data Operations Analyst is responsible for learning, understanding and executing the delivery of work for our internal and external customers.

RESPONSIBILITIES/TASKS:

Executing and monitoring production data and data exchange related processes, timely and conscientiously.

Executes defined standard operating procedures (SOPs) as per defined schedule: Daily, Weekly, Monthly, Quarterly and Yearly

Assists with implementing new SOPs / refining SOPs for providing routine service.

Initiates troubleshooting and/or appropriate notification of issues timely.

Monitors status of normal production processes as well as progress of issue resolutions

Responsible for communication of results and/or issues per team standards.

Shifts focus between clients and/or processes throughout the day to meet production needs.

Balances incoming requests with previously scheduled work.

Assists personnel, both internal and external, by answering questions and supplying information

Assists in outage resolution, validation after weekend patching and rollover activities

Effectively supports projects/teams in order to produce desired results.

Develops and maintains an effective working relationship with internal and external customers.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS:

EDUCATION:

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. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:

Five or more years of experience in a related field, typically in at least two of the following areas is preferred: health care information technology, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management. Experience in healthcare is highly preferred.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

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 in case of issues and order jobs when situation demands

Strong ability to work independently and direct the efforts of others.

Experience working in a Healthcare claims platform is highly preferred.

Experience in the following technologies and willingness to work on other technologies: MS SQL, Oracle, Control M

Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).

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.

Geographic Responsibility: Remote, US

Type of Employment: Full-time, permanent

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Work across multiple time zones in a hybrid or remote work environment.

Long periods of time sitting and/or standing in front of a computer using video technology.

May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

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** The annual US base salary range for this position is $120,000 to $135,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.