Remote

Director, Insurance Discover Technical Operations

FinThrive
United States
Oct 06, 2025
Impact you will make As Director of Technical Operations, you will oversee the EDI Operations, Application Configuration, and Found Coverage Reporting functions within our Insurance Discover division. Your responsibilities will include optimizing processes for Proof-of-Concept Trials, managing new client onboarding, and consistently seeking ways to enhance performance for our steady-state clients. In this pivotal role, you will collaborate with leaders in product, development, and sales to drive strategic growth initiatives, prepare for new product launches, and coordinate monthly release planning. You will be a key contributor to product QA, application configurations, EDI, and reporting operations, providing system-wide monitoring and analytics for a diverse customer base. This position demands strong technical leadership, advanced analytical skills, and the ability to mentor and develop team members. Additionally, it requires a business-oriented approach to maintain system performance and identify new opportunities for growth within our EDI and reporting frameworks. What you will do Guide the department's strategic direction by introducing new technologies such as RPA, AI, and PowerBI to automate processes, enhance productivity, and improve quality. Develop team members through cross-training, mentoring, and succession planning. Represent requirements to product teams for new launches, including Active Insurance Discover and Client Dashboards. Oversee workload and administrative tasks for a dynamic team, fostering continuous improvement in processes, technology, and customer satisfaction. Optimize support backlog management to improve throughput and predict turnaround times. Analyze payer performance, manage backlog, and coordinate with FinThrive's Insurance Clearinghouse to resolve issues accurately. Ensure timely delivery of Proof of Concept (POC) projects, onboarding requests, application configurations, KPI monitoring, and report builds. Manage staffing, recruitment, scheduling, and evaluation, tracking performance KPIs including payer backlog and hit/rejection rates. Identify and remove roadblocks to team success. Adopt a player-coach approach to mentoring colleagues and promoting collaboration across teams. Continuously review and optimize processes for consistent improvement. Build and implement a resource capacity model. Direct technical staff to solve problems efficiently and drive initiatives forward. Present project outcomes to upper management and maintain business performance dashboards. What you will bring Bachelor's Degree 5+ years of leadership experience with technical teams Strong SQL Knowledge Insurance eligibility and EDI experience (EDI 270/271) Strong Experience Healthcare Revenue Cycle Management and healthcare payer reimbursement Experience managing in a remote environment. Highly analytical, data-driven, and process oriented. Ability to mentor and develop team members Travel required: Minimal (a couple of times a year) What we would like to see Experience with Insurance Discovery Solutions Knowledge of Payor Connections and Payor behavior Expert EDI experience Power BI and Tableau Expert level SQL and Excel skills Databricks/AnsiSQL About FinThrive FinThrive is advancing the healthcare economy. For the most recent information on FinThrive's vision for healthcare revenue management visit finthrive.com/why-finthrive. Award-winning Culture of Customer-centricity and Reliability At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at https://finthrive.com/careers#culture. Our Perks and Benefits FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit finthrive.com/careers-benefits. FinThrive's Core Values and Expectations Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations Physical Demands The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Statement of EEO FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process. FinThrive Privacy Notice for California Resident Job Candidates Know Your Rights Pay Transparency Notice FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations. 2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO finthrive.com \| FinThrive Careers \| FinThrive Benefits & Perks \| Physical Demands