Virgin Pulse

Manager, Data Operations Integrations

Virgin Pulse$135K — $160K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Preferred associate or bachelor’s degree in a relevant field.
  • 3+ years of experience in healthcare EDI transactions like 834 and 835.
  • 3+ years of experience with claims adjudication systems such as QicLink.
  • 4+ years of experience in the Healthcare Industry is preferred.

Responsibilities

  • Manage teams responsible for file processing and delivery.
  • Set clear standards for measuring team success.
  • Coordinate with team leads to address performance trends and business challenges.
  • Collaborate with cross-functional teams for client implementations and issue resolutions.
  • Develop leadership qualities among current and potential leaders.
  • Own sections of the Data Pipeline and ensure data quality.
  • Manage comprehensive documentation of data processes and workflows.

Benefits

  • Competitive salary and benefits starting on day one.
  • Comprehensive medical and dental benefits through the company's own solutions.
  • Unlimited PTO for rest and recharge.
  • Support for mental health, retirement, and financial protection.
  • Opportunities for professional development and clear career progression.
  • Mission-driven culture that values diverse perspectives.
Full Job Description
Overview

This role has a strong preference to sit On-Site in Tempe, AZ but will consider qualified Remote candidates.

Responsibilities

Ready to lead Data Operations teams, drive operational excellence, and improve cross-functional processes?

The Manager, Data Operations is responsible for overseeing one or more functional areas within Data Operations, ensuring operational excellence and project execution in that area. The Manager, Data Operations must maintain a high-level understanding of the company workflows and departmental interdependencies to make educated decisions on best practice policies & procedures. The Manager, Data Operations must be able to perform any task that the team is required to perform and will be able to assist with or complete such tasks as needed. As Manager, Data Operations, you will also be accountable for working with internal teams do improve products and processes for the Data Operations team.

What You9ll Actually Do

  • Team Management: Manage the teams responsible for ingesting, processing, and/or delivering files across the enterprise
  • Setting Clear Standards: Set clear standards and measurements to ensure the team understands how success is measured and if we9re meeting those expectations
  • Maintaining Standards: Coordinating with Team Leads and Individual Contributors to understand the why behind performance trends, scaling out winning solutions and solving business challenges as needed
  • Cross-functional Operations Management: Collaborate with cross-functional teams to identify, validate, and clarify business requirements for new client implementation, issue resolution, renewals, and change requests.
  • Cross-functional Product Development: Collaborate with cross-functional teams to identify, validate, and clarify business requirements for new or enhanced Product features across the business.
  • Leadership Development: In addition to yourself, ensuring all current and potential leaders are provided sufficient direction and support to learn and grow their own leadership skills
  • Data Pipeline Management: Own sections of our Data Pipeline, establishing clear handoffs, monitoring processes, quality controls, and workflow management standards to ensure world-class Data Quality and Availability
  • Documentation: Accountable for the team9s management of comprehensive documentation of data analysis and data engineering processes, architecture, and workflows.
  • Data System Design & Implementation: Designing, building, and maintaining data pipelines, data models, and data solutions.

Other Duties may include:

  • Analyze the mapping of insurance claims, import/export files, and eligibility files for troubleshooting any operational inquiry
  • Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues
  • Coordinates ongoing client implementation and/or EDI testing, implementations, and upgrades
  • Ensure that business requirements are translated into actionable solutions that align with organizational goals, leveraging expertise to bridge the gap between needs and implementable solutions
  • Creates ad hoc SQL queries to support Operations
  • Build and maintain file transmissions through file transfer tools, i.e GoAnywhere, MoveIt, etc

Qualifications

What You Bring to Our Team

  • An associate or bachelor9s degree is preferred, but not required
  • 3+ years of experience with healthcare related EDI transactions, including 834, 835, 837, 270/271, 276/277 (TPA Roles only)
  • 3+ years of claims adjudication systems like QicLink, Eldorado, GIAS, etc (TPA Roles only)
  • 4+ years of experience in the Healthcare Industry preferred

Benefits

The Highlights:

  • Competitive base salary and benefits effective day one
  • Comprehensive medical and dental through our own health solutions (yes, we use what we build)
  • Unlimited PTO1 rest and recharge time is non-negotiable
  • Mental health support, retirement planning, and financial protection
  • Professional development with clear career progression and learning budgets
  • Mission-driven culture where diverse perspectives drive real impact on people9s health

Want the full picture?Visitpersonifyhealthbenefits.comto explore our complete benefits package, wellness programs, and other employee perks.

Compensation: This position offers a base salary range of $135,000 - $160,000, depending on location, skills, and experience. You9re eligible for our full benefits package starting day one.

About Virgin Pulse

Virgin Pulse is a provider of technology solutions that promote employee engagement and wellbeing. The company offers a range of products and services, including a mobile app, personalized coaching, and social networking tools. Virgin Pulse's solutions are designed to help employers improve employee health and productivity, reduce healthcare costs, and enhance the overall employee experience. The company was founded in 2004 and is headquartered in Providence, Rhode Island.
Learn more about Virgin Pulse
Size
1,200 employees
Industry
Founded
2004

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