
Technical Operations Lead
Posted Sep 4

Posted Sep 4
This is a fully remote position, open to applicants in United States.
• Oversee operational excellence in technology delivery.
• Produce SLA and operational reports for both customers and management.
• Lead incident resolution efforts and perform root cause analysis.
• Handle daily production support for a mid-sized health plan, including core administrative systems for enrollments, claims, adjudication, and payments.
• Provide support for surrounding applications/products and both upstream and downstream vendors.
• Facilitate customer calls and set priorities.
• Prioritize daily operational events and challenges.
• Manage incidents within service management systems like JIRA and ServiceNow.
• Oversee change management and issue resolution involving network, middleware, hardware, OS, database, and external application teams.
• Plan system maintenance and upgrade activities across various vendors.
• Address customer escalations effectively.
• Collaborate across multiple time zones in a hybrid or remote work setting.
• Travel as necessary based on company requirements.
• Bachelor’s degree in a relevant field.
• At least 6 years of experience managing a mid to large customer-facing production support environment.
• Extensive experience with healthcare payer platforms such as Facets, QNXT, or NASCO.
• Strong background in service management, SLA tracking, and operational reporting.
• Proficient in file transfer management solutions like MoveIt or EDIFECS.
• Experience in establishing processes using service management tools, particularly Service Now and Jira Service Management.
• Familiarity with Healthcare EDI formats such as 270, 271, 276, 277, 834, or 835 is highly desirable.
• Experience in managing production application environments.
• Background in a technical support role within a complex architecture environment.
• SQL proficiency is required.
• Experience with Cloud platforms like AWS/GCP is a plus.
• Knowledge of SOAP is advantageous.
• Experience in ETL processing is desirable.
• Understanding of ITIL practices and software delivery processes.
• ITIL certification or strong working knowledge of ITIL-based operations is preferred.
• Practical understanding of SOWs, SLAs, and Change Requests.
• Experience with SaaS providers and HealthEdge applications is beneficial.
• Proven experience in delivery management and customer partner or account interactions is essential.
• Experience working in an onshore/offshore model is required.
• Candidates may need to undergo a pre-employment criminal background check.
• Remote work environment.
• 5% travel allowance/requirement.
• Reasonable accommodations for individuals with disabilities.
• Commitment to equal opportunity and workforce diversity.
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