Manager, Data Operations Integrations

Learn even more about the work that drives us at personifyhealth.com.

• →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 we’re 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 team’s 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.

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.

• 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

• An associate or bachelor’s 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

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (yes, we use what we build)
• Unlimited PTO—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 people's health

Want the full picture? Visit personifyhealthbenefits.com to 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. You're eligible for our full benefits package starting day one.

Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing.

Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to talent@personifyhealth.com. View all legitimate openings at personifyhealth.com/careers.