• Set up new orders by adhering to both standard work practices and client-specific SOP instructions. • Ability to stay independently informed by reviewing all communications provided throughout the company platforms. • Ability to professionally relay delays, issues, and updates with customers through verbal and written communication.

• Drive operational excellence across delivery, resourcing, and financial management. • Establish, monitor, and report on KPIs across all operational functions. • Partner with the COO to define and execute operational strategy. • Oversee engagement delivery, ensuring projects are appropriately staffed and on schedule. • Manage the professional services financials, including revenue and utilization. • Build and lead a high-performing team for collaboration and continuous improvement. • Build trusted, executive-level client relationships and enhance client satisfaction.

Join us for an exciting career with the leading provider of supplemental benefits! Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. The Bridgegate EiPaaS Developer role resides within the Operations department and is responsible for overall ownership of the EiPaaS application (Bridgegate) and its environment. This role ensures the accurate, timely, and compliant processing of 834 electronic files, provider files, and other items processed through the EiPaaS/Bridgegate application, while maintaining enterprise-wide oversight of all Bridgegate workflows. Unlike a traditional IT development role, this position operates within the Operations team and focuses on business process continuity, data integrity, issue resolution, and workflow optimization. The EiPaaS Developer (currently using Bridgegate) serves as the operational subject matter expert for electronic file integrations and ensures that all workflows function reliably to support downstream business processes. This position is an operations-based role responsible for the administration, configuration, monitoring, and support of the organization’s EiPaaS/Bridgegate environment. This position plays a critical role in ensuring accurate and timely electronic data exchange, with primary ownership of 834 electronic file processing and overall oversight of all Bridgegate workflows. The EiPaaS Developer encompasses template development for new 834 electronic files, continuous workflow monitoring, proactive issue identification, and comprehensive troubleshooting of all EiPaaS/Bridgegate-related processes. The role serves as the operational subject matter expert and primary point of accountability for the stability, accuracy, and performance of Bridgegate integrations. Functional Competencies: 834 & Healthcare Transaction Management: - Manage end-to-end processing of HIPAA-compliant healthcare EDI transaction sets, including 834 enrollment files and familiarity with 837 claims and 270/271 eligibility transactions. - Interpret and implement EDI files in accordance with ANSI ASC X12 standards. - Build, configure, and maintain templates for new 834 electronic files as business needs evolve. - Validate data mappings and transformation logic to ensure accuracy, compliance, and data integrity. - Support onboarding of new partners and file configurations. EDI Standards & Secure File Transmission: - Maintain working knowledge of ANSI ASC X12 EDI standards and transaction set structures. - Manage and monitor secure file transfers using FTP/SFTP protocols. - Ensure secure transmission, receipt validation, and acknowledgment processing where applicable. - Troubleshoot connectivity, transmission failures, and formatting discrepancies. Workflow Monitoring, Logging & Alerting: - Monitor all EiPaaS/Bridgegate workflows, not limited to 834 transactions. - Design and implement comprehensive logging, alerting, and monitoring processes to capture EDI transaction logs, metadata, and automated alerts for data processing anomalies. - Review system-generated logs to identify errors, processing gaps, or performance degradation. - Establish proactive monitoring controls to minimize operational disruption. Troubleshooting and Issue Resolution: - Serve as the primary point of contact for all EiPaaS related issues. - Investigate and resolve workflow errors, mapping issues, and data discrepancies. - Perform root cause analysis and implement corrective and preventive actions. - Escalating platform-level or infrastructure concerns to IT or vendors when necessary. Documentation & Governance: - Maintain detailed documentation for templates, workflows, transaction logic, and monitoring controls. - Establish and maintain standard operating procedures. - Ensure compliance with internal controls, audit standards, and data governance policies. - Participate in testing and validation of workflow enhancements before deployment. Core Competencies: Analytical & Critical Thinking: - Strong analytical skills with the ability to diagnose workflow failures and data discrepancies - Applies structured problem-solving approaches to resolve complex operational issues - Demonstrates attention to detail in reviewing data mappings and file outputs. Operational Ownership & Accountability: - Takes full ownership of our EiPaaS environment stability and performance. - Proactive monitors systems and addresses issues before business impact occurs. - Maintains high standards for data accuracy, timeliness, and reliability. Communication & Collaboration: - Effectively communicates technical and workflow issues to non-technical stakeholders. - Collaborates cross-functionally with Operations, IT, vendors, and partners. - Provides clear documentation and status updates regarding workflow performance. Time Management & Prioritization: - Manages multiple workflows and competing priorities in a production environment. - Responds to time-sensitive file processing issues with urgency and precision. - Demonstrates strong organizational skills in maintaining documentation and tracking issues. Continuous Improvement & Adaptability: - Identifies opportunities to improve workflow efficiency and reduce error rates. - Adapts to changing file requirements, regulatory updates, and business needs. - Embraces process enhancements and evolving integration requirements. Behavioral Competencies: - Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. - Initiative: readiness to lead or take action to achieve goals. - Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing. - Member-focused: going above and beyond to make our members feel seen, valued, and appreciated. - Detail-oriented and thorough: managing and completing details of assignments without too much oversight. - Flexible and responsive: managing new demands, changes, and situations. - Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task. - Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties. Minimum Qualifications: - Associate’s Degree in Business, Information Systems, Healthcare Administration, Operations Management, or related field (or equivalent work experience). - 2+ years of experience in operations, EDI processing, healthcare enrollment, or systems workflow management. - 1-2 years of direct experience working with 834 electronic files and understanding of EDI file structures. - Experience using Bridgegate or a comparable integration or data workflow platform. - Demonstrated experience monitoring automated workflows and resolving production issues. - Strong analytical and troubleshooting skills with attention to detail. - Ability to interpret data mappings and validate file outputs. - Proficiency with Excel and basic data analysis tools. - Strong written and verbal communication skills. - As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient. Preferred Qualifications: - Bachelor’s degree in Information Systems, Healthcare IT, Business Analytics, or related discipline. - 3–5+ years of experience supporting EDI transactions, healthcare eligibility files, or system integrations. - Advanced experience configuring templates and workflows within Bridgegate. - Experience onboarding new trading partners and implementing new 834 file configurations. - Working knowledge of additional EDI transaction sets (e.g., 820, 835, 837). - Familiarity with SQL, data mapping logic, or API integrations. - Experience in a regulated healthcare or insurance environment. - Experience participating in audits, compliance reviews, or internal control processes. - Demonstrated process improvement experience within an operational environment. At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are: Zone A: $32.45-$54.08 Zone B: $35.36-$58.93 Zone C: $38.07-$63.46 FLSA Status: Hourly/Exempt This role may also be eligible for benefits, bonuses, and commission. Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter. We Offer - Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way. - Competitive compensation package. - Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period. - Life and disability insurance. - A great 401(k) with company match. - Tuition assistance, paid parental leave and backup family care. - Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent. - Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best. - Employee Resource Groups that advocate for inclusion and diversity in all that we do. - Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability. How To Stay Safe Avēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company. Avēsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom. We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com. To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity. Equal Employment Opportunity At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!

The ideal candidate will work with the Endocrinology and OB teams to support the care of pregnant patients with diabetes, and assist with tracking, monitoring, outreach, and supporting all patients involved in this program. Essential Functions - Resource Connection: Serving as a point of contact for patients with diabetes, providing education, coordination, and support for ongoing participation in care. - Treatment Planning: Supporting individualized treatment plans in collaboration with patients and other healthcare team members.  Assisting patient and clinical teams in obtaining prior authorizations for medication and CGM supplies. - Advocacy: Advocating for patients' needs and ensuring they receive the necessary support and services. Coordinating CGM initiation, training, and follow-up, ensuring timely device placement and data uploads. - Documentation: Maintaining accurate and timely documentation of patient interactions, assessments, and interventions. Collecting, organizing, and maintaining patient data related to glucose monitoring, lab results, and pregnancy outcomes in compliance with HIPPA regulations. - Collaboration: Working closely with other healthcare professionals, such as Physicians, Nurse Practitioners, Diabetes Educators, and Staff to ensure a coordinated and comprehensive approach to patient care.  Supporting quality improvement initiatives and contributing to periodic progress reports as well as participating in team meetings. - Education: Associates Degree Requirements: - Experience in prior authorization workflow, utilizing various means, including electronically, fax, paper, telephone, and maintaining online spreadsheet, is preferred - Experience in data collection and tracking, is preferred - Experience in healthcare settings, particularly in ambulatory or outpatient care, is preferred - Familiarity with electronic health records (EHR) and spreadsheet software, is preferred - Excellent communication, interpersonal, and organizational skills, is essential Schedule: Monday-Friday, 9AM-5PM with options for some remote access Working Conditions and Physical Effort: Manual Skills : Significant (more than 50%) portions of daily assignments involve application of manual skills requiring motor coordination in combination with finger dexterity. Physical Effort: Some (less than 50%) portions of daily assignments involve prolonged standing, transporting patients, material, and equipment, or lifting, moving, or carrying heavy (over 30 lbs.) materials for intermittent periods throughout the day. Physical Environment: Some (less than 50%) portions of daily assignments involve exposure to dirt, odors, noise, or some work is performed with exposure to temperature/weather extremes. Working surfaces may be unlevel, slippery, or unstable. Work Schedule: Work may require evening, night, holiday, or weekend assignments on occasion. Occupational Risks: Some (less than 50%) portions of daily assignments involve occupational risk, such as cuts, burns, exposure to toxic chemicals, injuries from falls, or back injury sustained with assisting in moving/lifting/positioning patients, equipment, or materials. Bloodborne Pathogens Exposure: OSHA Category III - Exposure not anticipated. Work does not involve exposure to blood, body fluids, or tissue, and does not require performing unplanned exposure tasks. Safety Equipment: Job does not require the use of safety equipment, such as HEPA masks, for prevention of infection. Ergonomics Risks: Significant portions (more than 50%) of daily assignments involve ergonomic risk. Salary - $75,000