
Job Posting
Business Systems and Data Manager
CEBS Requirement: Preferred
Fremont, CA
Overview
TITAN Insurance Administrators Inc. is a progressive third-party administrator of union health and welfare benefits, seeking an individual with a proven ability to maintain critical business systems and data. The individual must have a thorough understanding of benefits administration and the use of technology to support business processes.
Job Description:
The Business Systems and Data Manager will oversee all benefits administration systems, data, and daily electronic data exchanges with third party vendors and government agencies. This will include collaboration with software vendors to implement upgrades and roll out new products in addition to building reports to meet the needs of internal departments, client requests, and to satisfy government reporting requirements.
This is a full-time, salaried (exempt) position located in Fremont, CA (remote available) with a starting salary range of $120,000 to $140,000 per year with benefits, reporting to the President.
Essential Job Functions:
The essential job functions include, but are not limited to the following:
- Manage interactions with TITAN’s administration software vendor, Bridgeway Benefit Technologies, including new product implementations, upgrades, troubleshooting issues.
- Produce annual reports to government agencies as required by legislation.
- Conduct thorough data analysis to extract valuable insights and trends, leveraging various data sources and analytical tools for internal departments and external client requests.
- Provide technical support during and after implementation for electronic data interchange applications used in a health insurance setting.
- Manage all EDI processes by ensuring all correct inbound and outbound transactions are compliant.
- Troubleshoot inbound and outbound file issues by working with internal application resources and external trading partners.
- Respond to inquiries from vendors, payors, and providers regarding EDI issues with enrollment, payments and clearinghouse activities.
- Develop and maintain automation processes using business systems software.
- Maintain detailed documentation and process flows of all EDI processes.
- Perform regular database maintenance to ensure data accuracy and availability in accord with compliance requirements.
- Report to stakeholders on overall health of data systems and EDI transactions.
Requirements:
- A degree in Computer Science, Business Administration with an emphasis in Information Systems or a closely related field is required.
- Minimum of five (5) years’ experience with managing data in a health insurance setting, particularly in handling HIPAA 5010 834, 835 and 837 files.
- Strong knowledge of database and data reporting tools, especially SQL server, SQL Reporting Services, U2 Unidata, Entrinsik Informer, Microsoft Access and Excel.
- Experience with scripting tools used in a Linux environment including shell, perl and java.
- Proficiency in Microsoft Office application suite.
- Ability to understand complex datasets, both relational and non-relational, used to build census reports, charts and graphs.
- Attention to detail and the ability to multi-task and work under pressure.
- Outstanding analytical skills, problem solving abilities, and organizational skills.
- Excellent written and verbal communication skills.
- Ability to sit for extended periods of time, reach outward or above the shoulder, stand, walk, handle with fingers, stand, bend, and stoop.
- Ability to lift up to 10 pounds and push or pull up to 20 pounds.
To Apply:
- Please include the job title in the subject line of your email.
- Resumes must be included as text or attached as a document.
- Candidates who meet the required specifications will be contacted.
- Please email resumes to [email protected]
TITAN Insurance Administrators, Inc. is an equal opportunity employer.