Healthcare IT Technical Operations Lead, Edifecs

HealthEdge

. Manage operational excellence for technology delivery .

Posted 10/16/2026full-timeRemote • United StatesSenior💰 $90,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing operational excellence within technology delivery, focusing on healthcare payer platforms and service management. Proficient in incident resolution, SLA tracking, and operational reporting while ensuring effective communication with customers and stakeholders.

Highest-signal resume keywords

Healthcare Payer PlatformsEDIFECS/MoveItHealthcare EDISQLService Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Operational ReportingIncident ManagementChange ManagementRoot Cause AnalysisSLA TrackingETL ProcessingSOAPCloud AWSCloud GCPTechnical Support

Soft Skills

Customer InteractionProblem SolvingPrioritizationCommunicationCollaboration

Tools & Technologies

JIRAServiceNowFacetsQNXTNASCO

Certifications & Qualifications

ITIL Certification

Industry Keywords

Production SupportHealth PlanSaaS ProvidersOnshore/Offshore ModelAdministrative Systems

Tech Stack

Tools & technologies

AWSCloudETLGoogle Cloud PlatformServiceNowSOAPSQL

About the role

Key responsibilities & impact

Manage operational excellence for technology delivery
Generate SLA and operational reports for customers and management
Drive issue resolution and root cause analysis for incidents
Manage day-to-day production support for a mid-size health plan, including core administrative systems for enrollments, claims, adjudication and payments
Support surrounding applications/products and downstream and upstream vendors
Address Edifecs and EDI issues in production
Drive customer calls and priorities
Prioritize daily operational events and issues
Manage incidents in service management systems such as JIRA and ServiceNow
Manage change and issue resolution activities with network, middleware, hardware, operating system, database and external application groups
Plan system maintenance and upgrade events across multiple vendors
Resolve customer escalations

Requirements

What you’ll need

Bachelor’s degree in a related field
Minimum of 6 years’ experience managing a mid to large size customer facing production support environment
Strong experience working with healthcare payer platforms (e.g., Facets, QNXT, NASCO)
Strong experience with service management, SLA tracking and operational reporting to customers and management
Strong hands-on experience with EDIFECS/MoveIt required
Strong hands-on experience with Healthcare EDI required (e.g. 270, 271, 276, 277, 834, 835)
Experience managing health of production application environments
Experience working in a technical support role in complex architecture environment
Experience with SQL required
Experience with Cloud AWS/GCP desirable
Experience with SOAP desirable
Experience ETL processing desirable
Understanding of ITIL practices and software delivery
ITIL certification or strong working knowledge of ITIL-based operations
Practical knowledge of working with SOWs, SLAs, and Change Requests
Experience working with SaaS providers and HealthEdge applications is a plus
Experience in delivery management and customer partner or account interaction is a must
Experience working in an onshore/offshore model is a must
Ability to work Eastern Standard Time
Willingness to travel up to 5%
Candidates may be required to complete a pre-employment criminal background check

Benefits

Comp & perks

Remote work
Up to 5% travel
Equal opportunity employer
Reasonable accommodations for individuals with disabilities
Pre-employment criminal background check