ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES 

Manager — General 

• Manage the activities, processes, and continuous improvement of the TPDM platforms and operational excellence functions. Ensure that the team complies with change control guidelines and operational standards. 

• Coordinate with the EDI, ETL, and Delivery pillar leads on cross-pillar initiatives, escalations, and operational priorities. Serve as a cross-pillar resource and integrative leader, not a supervisor of the pillar leads. 

• Provide direction and resources to deliver platform health, operational excellence, and strategic execution outcomes effectively. 

• Provide clear and concise communication keeping stakeholders informed and escalating issues to senior leadership timely to minimize disruption. 

• Give presentations, organize operating reviews, and conduct platform scorecard discussions with audiences ranging from technical teams to executive leadership. 

• Develop a culture of trust, accountability, teamwork, high quality results, and continuous service improvement. 

• Demonstrate leadership abilities along with good judgment and decision-making skills. 

• Mentor and coach TPDM team members across all three pillars. Hold team members accountable for adhering to corporate policies and procedures. 

Senior Manager — General 

• Coach other leaders on the TPDM team, including pillar leads, on operational excellence disciplines. 

• Manage multiple concurrent strategic initiatives, platform improvement programs, and operational deliverables. 

• Plan, build, and run cross-pillar operational programs that span the EDI, ETL, and Delivery functions. 

• Communicate proficiently with senior leaders, including Staff VP and executive stakeholders. Represent TPDM in cross-functional governance forums when delegated by the Director. 

• Overcome blockers and deliver objectives creatively and strategically. Work with the team to create visibility on the health of TPDM platforms and the workflows within the organization. 

• Demonstrate readiness to cover Director responsibilities during absence as succession trajectory progresses. 

Platform Stewardship & Performance Assurance 

• Own and maintain the Edifecs platform performance assurance scorecard — tracking uptime, throughput, error rates, SLA adherence, and integration performance across all trading partners. 

• Establish, document, and enforce Edifecs platform standards — configuration governance, change management procedures, environment controls, and platform-level run and build books. 

• Drive capacity management and technical debt management for the Edifecs platform — anticipating downstream technical needs and preventing capacity-driven outages. 

• Serve as primary BCBSAZ point of contact for the Edifecs vendor relationship — managing escalations, roadmap alignment sessions, license tracking and management, and contract milestones at the operational level. 

• Lead platform governance decisions — approval thresholds, rollback procedures, and patching / upgrade discipline. 

• Monitor and report on the Edifecs SaaS migration implementation status, TCO realization, and milestone completion against the approved business case. 

Operational Excellence & Continuous Service Improvement 

• Own the TPDM Intake & Triage process — maintaining the framework, improving the intake workflow, and reporting on intake volume and resolution trends. 

• Serve as the first escalation path f