Tech Ops Specialist
hace 4 semanas
Overview Now is the time to join us We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future. Responsibilities Maintain an understanding of the workflows between operational departments Collaborate with cross‑functional teams to identify, validate, and clarify business requirements, ensuring a comprehensive understanding of needs and expectations so that changes or new clients are implemented seamlessly Communicate status of ongoing tasks on a regular basis to end users and the Manager of Technical Operations Analyze the mapping of insurance claims, import/export files, and eligibility files for troubleshooting any operational inquiry Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues Coordinate ongoing EDI testing, implementations, and upgrades Ensure that business requirements are translated into actionable solutions that align with organizational goals, leveraging expertise to bridge the gap between needs and implementable solutions Other duties as assigned the Manager of Technical Operations or Senior Technical Operations Specialist You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in Qualifications 2+ years of experience with system analysis, data analysis, and/or process improvement 1+ year of experience in the Healthcare Industry An associate or bachelor’s degree is preferred, but not required Knowledge of the Healthcare & TPA Industry preferred Excellent critical thinking skills Strong analytical and problem‑solving skills Intermediate to Advanced knowledge of Microsoft Office Suite, e.g., Excel, Outlook, Word, etc. Experience in using various data analysis tools, such as Excel, SQL, Tableau, Power BI, or other relevant software Demonstrated track record of successfully analyzing data, gathering requirements, and providing valuable insights and solutions to support business decision‑making Ability to work collaboratively, facilitate discussions, and negotiate requirements among various teams Knowledge/Experience with ANSI 5010 transactions like 837, 835, 834, 270/271 preferred EEO Statement Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #J-18808-Ljbffr
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