Manager, EDI & Software Engineering Operations

Zelis is seeking a highly motivated and skilled Manager, EDI & Software Engineering Operations to join our team. The ideal candidate will have an understanding of EDI, ETL and/or SDLC processes, standards, and technologies, along with leadership and communication skills. 

As a Manager, EDI & Software Engineering Operations, you will play a critical role in optimizing our electronic data exchange operations to enhance efficiency, accuracy, and collaboration across our organization and with external clients. You will be responsible for partnering with internal teams to resolve issues, as well as improving/streamlining the necessary processes to ensure success in each implementation.
 

What You’ll Do

• Work with Engineering leaders and stakeholders to identify and remove obstacles, communicate dependencies, minimize risks, and ensure consistent, quality software delivery.

• Review & enhance process improvement measures, including efficient resource management and clear delineation of staff responsibilities.

• Plan for staff availability, time-off requests, and perform other day-to-day management duties as needed.

• Foster a culture of collaboration, continuous improvement, and knowledge sharing among team members.

• Lead, oversee, and maintain existing partner relationships, including troubleshooting and issue resolution.

• Lead cross-functional teams to execute highly complex and technical solutions.

• Supervise the development and maintenance of EDI mappings and data transformation processes.

• Oversee and enforce data quality and validation checks to ensure accurate data transmission.

• Guide and assist the EDI teams throughout the development and 835 QA process.

• Strong communication and presentation skills, while exhibiting the ability to view and consider the perspective of various units within the organization.

• Create and maintain internal processes to handle backlog, technical debt, resource allocation, automation opportunities, and processes that streamline work and improve output to meet business needs/scaling.

• Address internal and external client escalations.  Communicate clearly and effectively with the clients to ensure their needs are understood and met.

• Establish metrics and KPIs from Jira/etc., in pursuit of establishing baselines for ticketed flow and team/member performance.

• Present regular progress reports and setting goals to provide a clear picture of the department’s performance and overall posture.

What You’ll Bring to Zelis

• Minimum of 6+ years technical (EDI or Software Engineer) knowledge and experience

• People management experience

• Familiarity with: ETL Processes, Microsoft C#, Microsoft SQL Server and SQL language (T-SQL, SSMS, or LINQPad), Jira, Salesforce, and/or Confluence

• Healthcare Claims and Payment data, HIPAA EDI 835 transactions, EFTs, EOBs/EOPs, etc. experience helpful

• Bachelor’s or Master’s degree a plus

• Complex information systems experience

Location and Workplace Flexibility
We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.  
 

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

Commitment to Diversity, Equity, Inclusion, and Belonging 
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity  
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.  

Accessibility Support 

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [email protected].  

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