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Manager, Operations, Technical Services
Cambia Health Solutions. Execute and implement strategic plans and vision for Operations Technical Services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Operations Technical Services, focusing on data architecture, reporting solutions, and team leadership. Proven ability to manage complex projects, ensure compliance with privacy regulations, and drive strategic initiatives in health insurance operations.
Highest-signal resume keywords
Data ArchitectureBusiness Intelligence SolutionsTeam LeadershipHealth Insurance OperationsProject Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisETL ProcessesData ModelingSystem DesignReporting DevelopmentData TransformationBusiness Requirements DocumentationPerformance ManagementBudgetingStrategic Planning
Soft Skills
CoachingMotivating TeamsCommunicationCollaborationEmployee Development
Tools & Technologies
AI ToolsBusiness Intelligence ToolsData Discovery ToolsDashboardsData Marts
Industry Keywords
Health Insurance OperationsCustomer ServiceClaimsMembershipProvider OperationsData SecurityPrivacy RegulationsCost Containment StrategiesMedical Management ProgramsData Quality Requirements
Tech Stack
Tools & technologiesETL
About the role
Key responsibilities & impact- Execute and implement strategic plans and vision for Operations Technical Services
- Lead Operations division data and reporting initiatives
- Oversee development of reports, dashboards, extracts, data marts, small applications, and testing processes
- Manage business/data analysts and programmer analysts delivering operational solutions and business intelligence
- Handle performance reviews, employee development, hiring, coaching, retention, and accountability for direct reports
- Provide strategic leadership and communication to teams across multiple locations
- Plan and implement technical services strategy by assembling teams, assigning responsibilities, identifying resources, and providing guidance
- Partner with Operations stakeholders to identify information needs and automate ad-hoc data analysis
- Develop reporting and data solutions compliant with privacy regulations and policies
- Oversee data architecture, transformation, stewardship, end-user self-service, and data controls for feeds and ETL processes
- Collaborate across departments, Operations BI teams, vendors, and support relationships to resolve issues
- Develop solution roadmaps for access to reporting, BI, and data discovery tools
- Stay current with medical management programs, cost containment strategies, medical technology, and market conditions
- Deliver requirement analysis, system design, data models, program development, testing, and documentation
- Supervise 4–6 FTEs
Requirements
What you’ll need- Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field
- Minimum 10 years of related professional experience
- Minimum 3 years of supervisory/leadership experience
- Equivalent combination of appropriate education and experience accepted
- Ability to develop and lead teams, including hiring, goal setting, coaching, and development
- Resource and project management experience, including budgeting, strategic planning, success measures, and deliverables
- Domain expertise in health insurance operations, including Customer Service, Claims, Membership, and/or Provider Operations
- Understanding of data use in business processes and data security, privacy, and quality requirements
- Knowledge of health plan operations, health plan data sources and structures, and cost containment strategies
- Ability to adapt to changing technologies and methodologies
- Ability to define and document business requirements and translate them into technical solutions
- Ability to develop solutions for conflicting Business Intelligence needs
- Experience establishing deliverables for large-scale, complex projects
- Ability to motivate teams and work with internal and external customers
- Experience with AI tools and technologies highly desired
- Background check required
- Wired internet connection required for work-from-home options, with minimum 5Mb upload and 10Mb download speeds
- Personal mobile device required for Multi-Factor Authentication
Benefits
Comp & perks- Bonus target of 15%
- Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
- Annual employer contribution to a health savings account
- Generous paid time off varying by role and tenure
- 10 company-paid holidays
- Market-leading 401(k) with company match
- Potential discretionary retirement contribution based on company performance, with no vesting period
- Up to 12 weeks of paid parental time off after 12 months of continuous service
- Award-winning wellness programs that reward participation
- Employee Assistance Fund
- Commute and parking benefits
- Work-from-home options for most roles, subject to wired internet requirements
- Employee resource groups
- Cambia-supported community outreach programs
- Personal mobile device access for Multi-Factor Authentication