Healthcare IT Technical Operations Associate III

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

Benefits

Remote, US

Glassdoor

3.4

Healthcare technology solutions connecting health plans, providers, and patients.

Boston, Massachusetts, USA

http://www.healthedge.com

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Customer Service and Support

Engineering and Development

Management and Executive

Product Management

Trends of Total Sponsorships

*2026

(33)

2025

(45)

2024

(37)

2023

(35)

2022

(56)

2021

2020

(34)

Late Stage

Total Funding

$97.78M

Key Investors

Qualifications

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, 837)

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

Required skills

HealthEdge, Facets, QNXT, EDI X12, SQL, Jira, ServiceNow, Dynatrace, ITIL, Incident Management, US Healthcare Workflows, HIPAA Compliance

Experience

3-4 years