Core Operations Manager

Skills
Computer ScienceClaims ProcessingHealthcareLeadershipManagement Information SystemsOperations ManagementPayer
Role

What the job involves

The main requirements, responsibilities and hiring steps.

Requirements

  • Bachelor’s degree in Information Systems MIS Computer Science Software Engineering Health Information Management or Business Administration
  • 5 to 7 years’ experience in healthcare systems
  • Background in healthcare payer systems including claims processing and benefit configuration
  • Experience with provider data management
  • Experience with systems testing and migration
  • Project Management and Staff Supervision a plus

Nice to have

  • Integrity and Trust
  • Customer Focus
  • Functional and Technical skills
  • Written and Oral Communication

Day to day

  • Evaluate operational processes and procedures to improve core systems and applications.
  • Work with internal teams and external stakeholders to support system setup and business needs.
  • Track performance, resolve issues, and coordinate initiatives using Jira and ServiceNow.