Note: The job is a remote job and is open to candidates in USA. HealthEdge provides healthcare technology infrastructure for health insurance companies. The Healthcare IT Technical Operations Associate III handles operational failures, reprocessing, and data reconciliation across healthcare systems, coordinating with technical teams and clients to resolve issues and maintain data integrity.
Responsibilities
- Investigate and triage job failures, fallouts, and reprocessing requests raised by L1
- Perform initial analysis using application logs, database queries, monitoring tools, and upstream/downstream dependency checks to support root cause identification
- Work alongside L3, product, and other stakeholders to drive root cause identification and resolution, providing analysis, context, and coordination throughout
- Execute data correction and reprocess failed or fallout records per standard procedures once a fix or instruction is available
- Validate outcomes after reprocessing and confirm successful completion
- Support implementation of preventive actions for recurring failures in coordination with L3 and product teams
- Perform record count reconciliation between input and output files, tables, and messages, and detailed reconciliation beyond basic counts as defined in the runbook
- Execute periodic reconciliations across all interfaces to ensure end-to-end data integrity
- Timely completion of adhoc customer requests
- Analyze and resolve record count mismatches, data mismatches, duplicates, missing transactions, and out-of-balance conditions
- Define and enhance reconciliation control mechanisms and validation checkpoints
- Maintain reconciliation logs and audit trails for all data correction and reprocessing activity
- Analyze inbound and outbound interface issues across systems
- Coordinate with external vendors, trading partners, and upstream/downstream teams for file failures, format issues, delays, and data discrepancies
- Provide functional guidance to L1 for complex monitoring and triage scenarios
- Review L1-raised tickets for completeness and drive faster resolution
- Contribute to runbook and SOP updates so recurring patterns are easier for L1 to detect, report, and route
- Publish periodic reports on reconciliation status, fallout and reprocessing volumes, and SLA performance
- Document and communicate open reprocessing activities, pending reconciliations, and business-critical risks during shift handover
- Identify recurring failures and support permanent fixes and process improvements
- Recommend automation opportunities for reconciliation and monitoring activities
- Contribute to best practices and process standardization across interfaces
Skills
- Bachelor's degree in Computer Science, Information Technology, or a related field
- Minimum 3-4 years of experience in application support, technical operations, or production support roles
- Experience with healthcare platforms such as HealthEdge, Facets, or QNXT
- Experience with healthcare data formats such as EDI X12 (270/271, 276/277, 834, 835)
- Ability to clearly communicate with external customers
- Experience with production monitoring tools for investigation and support
- Experience with ITSM tools such as Jira or ServiceNow
- Hands-on experience with SQL for data validation, log analysis, and reconciliation queries
- Solid understanding of incident management, SLA tracking, and escalation processes
- Strong analytical skills with attention to detail
- Familiarity with monitoring tools such as Dynatrace
- Basic scripting knowledge for log review or automation
- Awareness of ITIL practices
- Understanding of US healthcare workflows including claims processing, member enrollment, and provider interactions
- Familiarity with HIPAA compliance and healthcare data security standards
Benefits
- Remote work
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