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HealthEdge

Core administrative systems for health plans

Healthcare IT Technical Operations Associate 2

IT OperationsConfirmed live in the last 24 hours
Full-timeRemote in USA$44k - $66k /yr

About the Job

Requirements

  • A bachelor's degree in any discipline is required; a degree in IT, Computer Science, or a healthcare-related field is preferred.
  • A minimum of 2 years of experience in IT service desk, operations support, or a similar role is required.
  • Experience with healthcare platforms such as HealthEdge, Facets, or QNXT is required.
  • Experience with healthcare data formats such as EDI X12 (270/271, 276/277, 834, 835, 837) is required.
  • Experience with production monitoring tools for investigation and support is required.
  • Hands-on experience working incidents and service requests in an ITSM tool such as Jira or ServiceNow is required.
  • The candidate must be able to coordinate across multiple stakeholders and communicate effectively.
  • The candidate must be attentive to detail and able to manage multiple open tickets and monitoring streams simultaneously.
  • The candidate must have familiarity with HIPAA compliance and healthcare data security standards.

Responsibilities

  • Monitor the ITSM tool continuously for new incidents and service requests.
  • Acknowledge tickets within agreed SLA windows and confirm receipt with requesters.
  • Classify and prioritize tickets based on impact, urgency, and SLA.
  • Validate ticket completeness and obtain additional information when needed.
  • Categorize tickets initially and assign them to the appropriate support group using the defined assignment matrix.
  • Ensure required information is captured before routing tickets to avoid reassignments.
  • Escalate tickets to L2 or the relevant resolver group based on priority, impact, or SLA breach risk under the escalation process.
  • Monitor scheduled batch jobs using monitoring tools, dashboards, and job trackers according to the defined runbook and processing calendar.
  • Track job starts, in-progress status, and completion using monitoring tools, application logs, and defined checkpoints.
  • Monitor inbound and outbound file transfers to confirm expected files arrive and are dispatched on schedule.
  • Monitor real-time API transaction health and availability.
  • Confirm prerequisite conditions, such as file availability and upstream job completion, before marking a job successful.
  • Maintain real-time job monitoring trackers for all critical workflows.
  • Raise tickets for job failures, missing or delayed files, long-running or stuck processes, and API availability issues when ticket creation is not automated; include details such as job name, cycle, failure time, error messages, and business impact.
  • Route job-failure and reprocessing tickets to L2 and track them through closure.
  • Follow up regularly with product teams, internal support teams, and vendors for updates.
  • Drive tickets to closure without unnecessary delays.
  • Coordinate clearly across stakeholders throughout the ticket lifecycle.
  • Provide timely status updates to requesters on open tickets.
  • Confirm resolution before closing tickets.
  • Respond to queries related to open incidents and service requests.
  • Highlight tickets nearing SLA breach and update priority when impact or urgency changes.
  • Ensure closure notes are accurate, complete, and linked to relevant knowledge articles where applicable.
  • Share periodic updates on ticket status, aging, SLA risks, and critical incidents.
  • Provide detailed shift handover notes covering in-progress jobs, pending validations, open incidents, and follow-ups.

Desired Qualifications

  • Awareness of ITIL practices or prior experience in a support center environment.

About the Company

HealthEdge

Core administrative systems for health plans

HealthEdge provides software for healthcare payers, delivering core administrative systems and care-coordination tools for health plans. Its flagship HealthRules Payor uses business rules and workflows to automate claims processing, member services, and provider-network management, integrating with existing payer systems to streamline operations. The company differentiates itself with a 11-year Gartner Sample Vendor recognition, proven claims efficiency, and partnerships like CitiusTech, offering an end-to-end solution that covers licensing, implementation, and ongoing support. Its goal is to help health plans operate more efficiently, improve care coordination, and thrive under value-based reimbursement.

Company size
1,001-5,000
Company stage
Late Stage VC
Total funding
$97.8M
Headquarters
Burlington, MA
Founded
2004

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