File & Automation Manager

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.

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 and Automation Manager ensures the smooth and efficient operation of Electronic Data Interchange (EDI) systems and keeps open dialogue with business partners to resolve issues.

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:

Team Leadership:

Client and Vendor Relations:

Collaboration:

Compliance and Security:

Continuous Improvement:

• 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.

Supervisory 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

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.