File & Automation Manager

National Healthcare Solutions Group; United States; On-site; USD 120,000 - 180,000; Full time

Job summary

National Healthcare Solutions Group in the United States is seeking a File & Automation Manager to lead an Agile tech team responsible for data integration with clients and healthcare vendors.

You will oversee EDI operations, collaborate with Product and Project Management, and drive improvements while ensuring HIPAA and HITECH compliance across transmission and storage of sensitive data.

Qualifications

• Bachelor’s degree in information technology, computer science, healthcare administration, or related field.
• Minimum of 5 years in management, data integration, or a related role.
• Minimum of 5 years experience with SQL Server (Oracle) database management and query tuning.
• Knowledge of Azure Data Factory and cloud computing preferred.
• Experience in the healthcare industry is preferred.
• Proven ability to lead and develop a team, manage projects, and collaborate cross‑functionally.
• Strong written and verbal communication for nontechnical stakeholders.
• Experience with EDI software and tools.
• Knowledge of ITIL processes and best practices.
• Bilingual English and Spanish highly preferred.
• Ability to work outside regular hours for urgent EDI issues.
• Ability to manage multiple projects, priorities, and stakeholders in a fast-paced environment.

Responsibilities

• EDI System Management: Oversee EDI systems setup, configuration, and maintenance.
• Data Integration: Manage data integration projects with clients and healthcare vendors.
• Team Leadership: Lead and mentor the File & Automation team.
• Client And Vendor Relations: Primary contact for EDI inquiries from clients and vendors.
• Collaboration: Align with Product and Project Management in an Agile process.
• Compliance And Security: Ensure HIPAA/HITECH compliance and data protection.

Skills

Leadership

Communication

Project management

Cross‑functional teamwork

Mentoring

Education

Bachelor’s degree in information technology / computer science / healthcare administration

Tools

SQL Server

Azure Data Factory

EDI software

Job description

About Us

National Healthcare Solutions Group (NHSG), a certified "Great Place to Work," is an enterprise of specialized healthcare administration and insurance services companies. Our portfolio includes domestic companies spanning third-party employee benefits administration, pharmacy benefits management, stop loss underwriting, and PPO network solutions. With decades of industry experience, our team is united by a single mission: standing with members through every moment and milestone in their healthcare journey.

About Us

National Healthcare Solutions Group (NHSG), a certified "Great Place to Work," is an enterprise of specialized healthcare administration and insurance services companies. Our portfolio includes domestic companies spanning third-party employee benefits administration, pharmacy benefits management, stop loss underwriting, and PPO network solutions. With decades of industry experience, our team is united by a single mission: standing with members through every moment and milestone in their healthcare journey.

Position Summary

The File & Automation Manager leads an Agile tech team, including Business Analysts and Data Engineers, fostering collaboration and innovation to optimize data integration processes. This role oversees and manages the team that maintains data integration with clients and healthcare vendors. The leader works closely with the Product and Project Management team to maximize throughput. The Manager interacts closely with third parties to coordinate file specifications and delivery. Additionally, the File & Automation Manager ensures the smooth and efficient operation of Electronic Data Interchange (EDI) systems and keeps open dialogue with business partners to resolve issues.

DUTIES AND RESPONSIBILITIES

The essential functions include, but are not limited to the following:

EDI System Management

• Oversee EDI systems and solutions setup, configuration, and maintenance.
• Ensure the reliability and performance of EDI transactions and processes.

Data Integration

• Manage data integration projects with clients and healthcare vendors, ensuring timely and accurate data exchanges.
• Coordinate and delegate Integration project backlog with the team.
• Monitor data flow and troubleshoot integration issues.
• Migrate on-premises integrations to the cloud (Azure).

Team Leadership

• Lead and mentor the File & Automation team.
• Assign tasks, manage workloads, and evaluate team performance.
• Foster a collaborative and productive work environment.
• Partner with leadership to develop growth tracks for team members.

Client And Vendor Relations

• Serve as the primary point of contact for EDI-related inquiries and escalations from clients and vendors.
• Collaborate with clients and vendors to understand their integration needs and partner with team to provide tailored solutions.

Collaboration

• Align and coordinate with the Product and Project Management teams in an Agile Process.
• Foster Agile best practices with the Scrum Master.

Compliance And Security

• Ensure all EDI processes comply with industry standards and regulations, including HIPAA and HITECH.
• Implement and maintain security measures to protect sensitive data during transmission and storage.

Continuous Improvement

• Discover learning opportunities for incorporation into the team and business knowledgebases.
• Identify opportunities for process improvements and system enhancements.
• Implement qualified team suggestions for continued process improvement.
• Educate business partners at sister companies on best practices when working with IT.

Minimum Qualifications (knowledge, Skills, And Abilities)

• Bachelor’s degree in information technology, Computer Science, Business Administration, Healthcare Administration, or related field.
• Minimum of 5 years of experience in management, data integration, or a related role.
• Minimum of 5 years of experience or knowledge of SQL Server (Oracle) database management, writing queries, and performance optimization.
• Knowledge of Azure Data Factories and cloud computing preferred.
• Prior experience in the healthcare industry is preferred.
• Proven ability to lead and develop a team, manage projects, and collaborate with cross-functional teams.
• Ability to manage relationships with external Vendors.
• Strong verbal and written communication skills, with the ability to convey technical information to nontechnical stakeholders.
• Knowledge of ITIL processes and best practices.
• Excellent analytical and troubleshooting abilities.
• Experience with EDI software and tools.
• Bilingual English and Spanish are highly preferred.
• Ability to work outside of regular business hours when urgent EDI issues arise or to perform system maintenance.
• Ability to manage multiple projects, priorities, and stakeholders in a fast-paced and dynamic environment.

OTHER DETAILSSupervisory Responsibilities

3 Business Analyst and 2 Engineers

Work Environment

The noise level in the work environment is usually low to moderate.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus.

Travel Requirements

NOTE

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise.

The Company complies with employment regulations as they apply to the location of service.