Healthcare Technical Operations Lead
Core
Lead operational excellence for customer-facing technology delivery, managing production support, incident resolution, and system maintenance for mid-size health plans.
Role type
Senior IT Technical Operations Lead
Builds
Operational stability and SLA compliance for core administrative systems (enrollments, claims, adjudication, payments) and downstream/upstream vendor integrations.
Domain
Health Insurance / Healthcare Payer Operations
Required skills
Production support management, Incident management, Root cause analysis, SLA tracking, Operational reporting, Change management, SQL, Service management tools, Vendor management, Onshore/offshore coordination
Preferred skills
Healthcare payer platforms (Facets, QNXT, NASCO), File transfer management (MoveIt, EDIFECS), Healthcare EDI (270, 271, 276, 277, 834, 835), Cloud (AWS/GCP), SOAP, ETL processing, ITIL certification, SaaS provider management
Technologies
JIRA, Service Now, SQL, AWS, GCP, MoveIt, EDIFECS
Responsibilities
Manage operational excellence for technology delivery, Generate SLA/Operational reports, Drive issue resolution and root cause analysis, Manage day-to-day production support for core administrative systems, Drive customer calls and priorities, Prioritize daily operational events and issues, Manage change and issue resolution activities across network/middleware/hardware/OS/DB/vendors, Plan system maintenance and upgrade events, Resolve customer escalations
Seniority
Senior, hands-on IC