Healthcare IT Technical Operations Associate III

This is a fully remote position, open to applicants in United States.

📋 Description

• Investigate and address job failures, fallouts, and reprocessing requests initiated by L1.

• Analyze application logs, database queries, monitoring tools, as well as upstream and downstream dependencies to aid in root cause analysis.

• Collaborate with L3, product teams, and other stakeholders to facilitate resolution.

• Execute data corrections and reprocess records that have failed or encountered fallouts.

• Validate the outcomes following reprocessing activities.

• Support preventive measures for recurring failures.

• Conduct record counts and detailed reconciliations across files, tables, messages, and interfaces.

• Analyze and resolve discrepancies in record counts, data mismatches, duplicates, missing transactions, and imbalances.

• Define and enhance reconciliation controls and validation checkpoints.

• Maintain logs and audit trails for reconciliation activities.

• Analyze issues related to inbound and outbound interfaces.

• Coordinate with external vendors, trading partners, and upstream/downstream teams.

• Provide functional guidance to L1 and review tickets raised by L1.

• Contribute to updates of runbooks and standard operating procedures (SOPs).

• Publish regular reports on reconciliation status, fallout and reprocessing volumes, and SLA performance.

• Document and communicate ongoing activities, pending reconciliations, and critical business risks during shift handover.

• Identify recurring failures, support permanent fixes, and suggest automation opportunities.

• Contribute to the establishment of best practices and standardization processes across interfaces.

⛳️ Requirements

• Bachelor's degree in Computer Science, Information Technology, or a related discipline.

• At least 3-4 years of experience in application support, technical operations, or production support roles.

• Familiarity with healthcare platforms such as HealthEdge, Facets, or QNXT.

• Knowledge of healthcare data formats including EDI X12 (270/271, 276/277, 834, 835, 837).

• Ability to communicate effectively with external customers.

• Experience with production monitoring tools for investigation and support.

• Proficiency in ITSM tools such as Jira or ServiceNow.

• Hands-on experience with SQL for data validation, log analysis, and reconciliation queries.

• Strong understanding of incident management, SLA tracking, and escalation processes.

• Exceptional analytical skills with a keen attention to detail.

• Familiarity with monitoring tools like Dynatrace.

• Basic scripting knowledge for log review or automation purposes.

• Awareness of ITIL practices.

• Understanding of US healthcare workflows, including claims processing, member enrollment, and provider interactions.

• Familiarity with HIPAA compliance and standards for healthcare data security.

• Candidates may be subject to a pre-employment criminal background check.

• Must be able to work remotely within the US.

🏝️ Benefits

• Remote work environment.

• Potential travel may be required based on company needs.

• Reasonable accommodations available for individuals with disabilities.

• Equal opportunity employer dedicated to workforce diversity.