Technical Manager of Clearinghouse

The Technical Manager of Clearinghouse is a strategic role at the heart of our healthcare clearinghouse operations, ensuring the seamless execution of technical processes and the delivery of high-quality software solutions. This individual will be instrumental in driving the technical direction of the organization, fostering innovation, and maintaining our commitment to excellence in serving the needs of payers and providers.
What you'll be doing?

• Spearhead the implementation of Healthcare Clearinghouse practices, including mastery over X12 EDI transactions (837, 835, 270/271, 276/277), and ensure compliance for CAQH requirements.
• Utilize expert knowledge in payer and provider requirements, including HIPAA guidelines, data mapping, reporting, and various data formats (XML, JSON, CSV).
• Lead and guide the technical team in all phases of the software development lifecycle, ensuring successful project delivery.
• Uphold and promote high standards of software quality within the team by cultivating best practices and a culture of continuous improvement.
• Offer technical leadership and mentorship to team members, enhancing their skills and fostering a collaborative environment.
• Engage in cross-functional collaboration with developers, business analysts, and architects to design, develop, test, and maintain robust applications.
• Facilitate the documentation of user requirements, user stories, and project estimates.
• Generate comprehensive reports and manuals to communicate the status, operation, and maintenance of software systems.
• Conduct and participate in peer-reviews of solution designs and code, ensuring adherence to industry standards.
• Manage the packaging and deployment of software releases, and fine-tune application integrations.
• Resolve technical issues, applying diagnostic and troubleshooting expertise to maintain application performance.
• Commit to delivering on-time and on-budget solutions, aligning with the organization's high-quality development principles.
• Provide advanced support to business users, addressing complex issues as a third-level support expert.

What we're looking for?

Required skills:

• A bachelor's degree in computer science, engineering, or a related discipline.
• Management certification relevant to the role is highly desirable.
• Proven experience in a similar leadership position, preferably within a healthcare clearinghouse environment.
• Exceptional technical skills, with a strong ability to diagnose and troubleshoot software issues.
• Demonstrated leadership and organizational prowess, with a track record of managing high-performing teams.
• A proactive approach to building professional relationships with both staff and clients.
• Outstanding communication skills, capable of motivating teams and engaging with stakeholders at all levels.
• X12, EDI, claims processing experience
• JAVA Programming
• SQL query writing

Why this is the company for you?

Top Benefits & Perks:

• A company culture that is authentic and values forward thinking, collaboration, and fairness! We work hard for our customers and have fun along the way!
• A professional development and growth-oriented workplace
• Generous benefits including, health insurance, short-term, and long-term disability
• 401(k) with a company match to provide a better future in your retirement years
• Work-life balance with competitive paid time off package; including vacation, holiday, and a floating day

Who is Smart Data Solutions?

For over 20 years, Smart Data Solutions has been partnering with leading payer organizations to provide automation and technology solutions enabling data standardization and workflow automation. The company brings a comprehensive set of turn-key services to handle all claims and claims-related information regardless of format (paper, fax, electronic), digitizing and normalizing for seamless use by payer clients. Solutions include intelligent data capture, conversion and digitization, mailroom management, comprehensive clearinghouse services and proprietary workflow offerings. SDS' headquarters are just outside of St. Paul, MN with 300+ employees and leverages dedicated onshore and offshore resources as part of its service delivery model. The company counts over 420 healthcare organizations as clients, including a number of Blues plans, large regional health plans and leading independent TPAs, handling over 500 million transactions of varying types annually with a 98%+ customer retention rate. SDS has also invested meaningfully in automation and machine learning capabilities across its tech-enabled processes to drive scalability and greater internal operating efficiency while also improving client results.

SDS recently partnered with a leading growth-oriented investment firm, Parthenon Capital, to further accelerate expansion and product innovation.

Location:

This position is located in the Dallas, TX office. This is a hybrid position with requirements of 3 days in office per week.

Smart Data Solutions is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.