Requirements
5 or more years of experience in healthcare claims and encounter processing systems operations.
Proficiency in AWS cloud-native technologies and cloud infrastructure management.
Experience in managing complex system implementations and enterprise integration projects.
Experience with public health insurance administration frameworks, enrollment workflows, and claims databases.
Experience with directing third-party vendor systems development and service level agreement monitoring.
Experience in configuring incident management pipelines, ticketing databases, and standardized workflows.
Excellent verbal and written communication skills.
Responsibilities
Direct daily technical operations and support for health insurance claims and encounter processing systems.
Oversee incident management and ticket escalation to ensure rapid resolution of production issues.
Coordinate technical releases, readiness reviews, and post-implementation performance monitoring.
Manage external vendor delivery schedules and enforce software development standards.
Ensure system compliance with federal cybersecurity requirements and administrative safety standards.
Perform backlog grooming and manage change control approval gates for application enhancements.
Implement standard operating procedures and technical documentation for new system deployments.
Founded in 1999, Resourcesoft, Inc. is a leading Technology Consulting and Professional Services organization. Headquartered in Marlborough, MA, the company serves the technology needs of its clients nationwide. Resourcesoft has often been recognized by prominent rating agencies for its exemplary growth and stability. With over two decades of industry experience, the Company has evolved as a front runner in enabling project optimization. We partner with leading organizations to provide technology solutions within the financial, insurance, education, government, publishing, healthcare and pharmaceutical domains. We take pride in mentoring a workforce that is well positioned to respond to the emerging IT trends and needs. With the employees at the crux of every business endeavor, our success is driven by our expertise in pairing the right talent with the best jobs in the technology sector. We forge long term, personalized relationships with our employees to advance their career to the next level. We engage them in technology centric client projects that provide opportunities for them to evolve, innovate and deliver world class products and services. Our career opportunities offer challenging assignments and exposure to emerging and cutting edge technologies. We are committed to providing our employees with the tools necessary to accelerate their career progression, while maintaining a healthy, work-life balance. We are deeply committed to providing a workplace ambience that is both challenging and fulfilling.
Resourcesoft is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
For more information about Resourcesoft and our services, please visit our website.
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