Healthcare IT Technical Operations Lead (Edifecs)

Wellframe; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

HealthEdge is seeking a Healthcare IT Technical Operations Lead to streamline production control for customer-facing technology delivery. The role emphasizes incident resolution, SLA reporting, and cross-functional coordination with Edifecs and EDI-focused processes.

The candidate will manage production environments, drive issue resolution, and coordinate maintenance and upgrades across multiple vendors while supporting onshore/offshore delivery models.

Qualifications

• Bachelor’s degree in a related field.
• Minimum of 6 years’ experience managing a mid to large size customer facing production support environment.
• Strong experience working with healthcare payer platforms (e.g., Facets, QNXT, NASCO).
• Strong experience with service management, SLA tracking and operational reporting to customers and management.
• Strong hands-on experience with EDIFECS/MoveIt required.
• Strong hands-on experience with Healthcare EDI required (e.g. 270, 271, 276, 277, 834, 835).
• Experience managing health of production application environments.
• Experience with SQL and cloud environments; ITIL knowledge/certification.
• Experience with SaaS providers and HealthEdge applications is a plus.

Responsibilities

• Manage operational excellence for technology delivery.
• Timely generation of SLA/ Operational reports to customers and management.
• Driving issue resolution and root cause analysis for incidents.
• Manage day to day production support for a mid-size HealthPlan including support of core administrative systems (enrollments, claims, adjudication and payments), surrounding applications/products and downstream and upstream vendors.
• Addressing Edifecs and EDI issues in production.
• Driving customer calls and priorities.
• Prioritize daily operational events and issues.
• Managing incidents in the service management systems like JIRA/Service Now.
• Plan system maintenance and upgrade events across multiple vendors.
• Customer escalation resolution.

Skills

Edifecs experience

Healthcare IT operations

SLA tracking

Incident management

SQL proficiency

Cloud exposure

Education

Bachelor’s degree in a related field

Tools

EDIFECS/MoveIt

Cloud AWS/GCP

SOAP

ETL

Job description

Healthcare IT Technical Operations Lead (Edifecs)

Job Locations: US-Remote

ID: 2026-8739

Category: Quality Assurance

Position Type: Full-Time

Overview

HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.

Healthedge is searching for a highly motivated Healthcare IT Technical Operations Lead to join our team. The IT Technical Operations Lead position will be instrumental in planning, coordinating and streamlining operational needs for customer facing technology delivery operations, guided by Healthedge’s values.

As a Healthcare IT Technical Operations Lead at Healthedge, you will be accountable for the following:

• Manage operational excellence for technology delivery
• Timely generation of SLA/ Operational reports to customers and management
• Driving issue resolution and root cause analysis for incidents
• Manage day to day production support for a mid-size HealthPlan including support of core administrative systems (enrollments, claims, adjudication and payments), surrounding applications/products and downstream and upstream vendors
• Addressing Edifecs and EDI issues in production
• Driving customer calls and priorities
• Prioritize daily operational events and issues
• Managing incidents in the service management systems like JIRA/Service Now.
• Manage change and issue resolution activities with network, middleware, hardware, OS, DB, and external application groups
• Plan system maintenance and upgrade events across multiple vendors
• Customer escalation resolution

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What You Need:

• Bachelor’s degree in a related field
• Minimum of 6 years’ experience managing a mid to large size customer facing production support environment
• Strong experience working with healthcare payer platforms (e.g., Facets, QNXT, NASCO)
• Strong experience with service management, SLA tracking and operational reporting to customers and management
• Strong hands-on experience with EDIFECS/MoveIt required
• Strong hands-on experience with Healthcare EDI required (e.g. 270, 271, 276, 277, 834, 835)
• Experience managing health of production application environments
• Experience working in a technical support role in complex architecture environment
• Experience with SQL required
• Experience with Cloud AWS/GCP desirable
• Experience with SOAP desirable
• Experience ETL processing desirable
• Understanding of ITIL practices and software delivery
• ITIL certification or strong working knowledge of ITIL-based operations.
• Practical knowledge of working with SOWs, SLAs, and Change Requests
• Experience working with SaaS providers and HealthEdge applications is a plus
• Experience in delivery management and customer partner or account interaction is a must
• Experience working in an onshore/offshore model is a must

Role Location: Remote

Working Hours: Eastern Standard Time

Travel: Up to 5%

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

The annual US base salary range for this position is $90,000 to $120,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.