Healthcare Management Administrators

Compensation

Full Description

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/ How YOU will make a Difference: The Technical Operations Manager will lead and manage the operational integrity of systems supporting healthcare eligibility and enrollment. This role ensures seamless data exchange between internal systems and external trading partners, supports compliance with regulatory requirements, and drives continuous improvement in technical workflows. What YOU will do: Oversee daily operations related to eligibility and enrollment data, focusing on 834 EDI file processing and reconciliation. Manage and optimize technical systems that support enrollment operations. Collaborate with IT and business teams to ensure accurate and timely transmission of 834 files to and from trading partners. Develop and maintain custom rule sets and real-time editing logic to support enrollment integrity. Lead troubleshooting efforts for file transmission errors, data mismatches, and system performance issues. Ensure compliance with HIPAA and other regulatory standards related to EDI transactions. Create and maintain dashboards and reporting tools to monitor file processing metrics and operational KPIs. Coordinate with vendors and service providers to resolve technical issues and enhance system capabilities. Provide technical leadership and mentorship to a team of analysts and support staff. Document processes, workflows, and system configurations related to eligibility operations. Facilitate collaboration across multidisciplinary teams using tools such as Teams, SharePoint, and advanced workflow integrations. Knowledge, Experience and Attributes: Bachelor’s degree in Information Technology, Computer Science, or a related field. 5+ years of experience in technical operations, preferably within healthcare or insurance. Strong understanding of ANSI X12 834 file format and EDI transaction sets (e.g., 820, 999). Experience with enrollment platforms such as HealthEdge, Mphasis or Facets. Familiarity with real-time editing systems and custom rule development. Edifecs experience preferred Background in healthcare member eligibility operations. Skilled at building relationships and moving projects forward with diverse audiences who have competing priorities Strong problem-solving and analytical skills Strong organization skills Strong leadership skills in keeping projects on schedule Compensation: The base salary range for this position in the greater Seattle area is $96,000-$118,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA’s standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: https://www.accesshma.com/