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HealthEdge

Core administrative systems for health plans

Director – IT Operations

IT OperationsConfirmed live in the last 24 hours
Full-timeRemote in USA$182k - $198k /yr

About the Job

Requirements

  • At least 10 years of progressive experience in IT operations, service management, production support, technology delivery, or related disciplines, including significant leadership responsibility.
  • Demonstrated leadership of enterprise Incident, Problem, Change, Release, or broader IT Service Management functions in complex, high-availability environments.
  • Strong working knowledge of ITIL practices and the ability to translate frameworks into pragmatic operating processes rather than compliance-only administration.
  • Experience leading major-incident response, executive and customer communications, root-cause analysis governance, and cross-functional remediation.
  • Proven ability to design or materially improve service-management operating models, governance structures, workflows, metrics, and tooling.
  • Experience operating across global onshore/offshore teams and 24x7 service environments.
  • Strong analytical capability with experience using operational data, trends, and service metrics to identify risk and drive improvement.
  • Excellent written and verbal communication skills, including the ability to communicate complex operational issues clearly to executives and customers.
  • Demonstrated ability to drive accountability and change across teams where authority is distributed.

Responsibilities

  • Build and lead the Service Management Office, including the governance framework, operating cadence, standards, controls, templates, and performance mechanisms used across Client IT Operations.
  • Own the service-management process framework for Incident Management, Problem Management and root-cause analysis, Change Management, Release Management, Knowledge Management, and related service-governance practices.
  • Establish clear roles, decision rights, escalation paths, and accountability across Tech Ops, infrastructure and platform teams, product teams, implementation teams, Service Desk, customers, and third-party partners.
  • Lead governance for major incidents and service disruptions, ensuring disciplined process execution, timely stakeholder engagement, effective bridge management, clear escalation, and high-quality internal and customer communications.
  • Define and enforce root-cause analysis standards, including ownership, timelines, evidence quality, corrective and preventive actions, cross-functional follow-through, and closure governance.
  • Lead Change and Release governance, including CAB effectiveness, production-readiness controls, risk assessment, rollback and testing expectations, release calendars, and post-change validation.
  • Create consistent executive and customer communication standards for incidents, service health, operational risk, planned changes, and material service issues.
  • Develop service governance scorecards and management reporting covering SLA performance, incident trends, change quality, root-cause analysis completion, recurring failure patterns, operational risk, and continuous-improvement commitments.
  • Partner with technical leaders to identify systemic operational issues and convert recurring incidents, manual processes, and control gaps into prioritized improvement initiatives.
  • Drive standardization across customer environments while allowing documented exceptions where contractual, technical, or customer-specific requirements demand variation.
  • Partner with tooling and observability teams to improve ITSM workflows, Jira/JSM utilization, telemetry, alerting, automation, and the quality of operational data used for governance and decision-making.
  • Establish and maintain service-management documentation, playbooks, templates, knowledge standards, and audit-ready evidence.
  • Build an effective onshore/offshore operating model that uses follow-the-sun capabilities while maintaining appropriate leadership, customer engagement, and executive communication coverage.
  • Develop SMO talent, establish measurable objectives, coach leaders and practitioners, and create a culture of ownership, transparency, urgency, and continuous improvement.
  • Serve as a senior operational partner to the VP, Client IT Operations, and other technology and business leaders.
  • Influence across organizational boundaries without relying solely on direct reporting relationships.
  • Provide concise, fact-based executive updates during high-severity events and periods of elevated operational risk.
  • Build trusted working relationships with customer-facing leaders, Technical Operations Managers, Technical Directors, infrastructure and platform teams, product and implementation organizations, vendors, and offshore delivery leaders.
  • Escalate systemic risks and accountability gaps early, with clear recommendations and decisions required.

Desired Qualifications

  • Experience in healthcare technology, healthcare payer operations, BPaaS, SaaS, EPaaS, or other highly regulated or transaction-intensive environments.
  • Experience with Jira Service Management (JSM), enterprise ITSM platforms, observability/monitoring platforms, PagerDuty or comparable on-call tooling, and workflow automation.
  • Experience supporting environments with significant customer-specific integrations, data operations, third-party dependencies, and complex production release requirements.

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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