Job Title:- Operations Support Analyst
Location:- Remote
Duration:- 6-12+ months+, conversion to FTE
Job Description-:
Job Summary
We are seeking an Operations Support Analyst with a strong background in healthcare claims operations to join the Validate 2.0 platform team. This individual will be responsible for the day-to-day operational support of the Validate 2.0 platform, a modern healthcare claims validation and pricing application, ensuring clients are correctly configured, operational workflows are running smoothly, and issues are triaged and resolved in a timely manner. This is a functional, application-level role; it does not involve software development or coding. The ideal candidate brings deep familiarity with healthcare claims processing, revenue cycle workflows, and client-facing communication, and is comfortable operating within a complex, multi-tenant SaaS environment. This individual will work closely with the Implementation Engineer team and escalate technical issues to the development team as needed.
Essential Duties and Responsibilities
Platform Operations & Client Configuration
- Configure and maintain client accounts within the Validate 2.0 platform, ensuring accurate setup of payer contracts, pricing rules, and account structures.
- Monitor operational workflows to ensure claims, remittances, and payments are processing correctly for assigned clients.
- Identify and investigate data discrepancies, processing failures, or configuration errors; document findings and escalate appropriately.
- Perform end-of-period operational tasks including report validation, account reconciliation support, and workflow closure activities.
Client Support & Issue Triage
- Serve as a primary point of contact for client operational inquiries, providing timely and professional responses.
- Triage incoming support requests, distinguishing between configuration issues, data issues, and technical defects requiring engineering escalation.
- Manage client expectations during issue resolution, communicating status updates clearly and proactively.
- Push back constructively on client requests or file submissions that do not meet specification, working collaboratively toward resolution.
Collaboration & Documentation
- Partner with Implementation Engineers during client onboarding to ensure a smooth transition to steady-state operations.
- Collaborate with the development team to communicate operational pain points, recurring issues, and configuration gaps that may require platform improvements.
- Maintain accurate documentation of client configurations, operational procedures, and issue resolution steps.
- Ensure all data handling and client interactions comply with HIPAA requirements and internal security policies.
Required Qualifications
- Bachelor’s degree in Health Information Management, Business, Information Systems, or equivalent experience.
- 3+ years of experience in healthcare claims operations, medical billing, or revenue cycle management.
- Strong working knowledge of healthcare claims processing workflows, including claims submission, adjudication, remittance, and denial management.
- Ability to configure and operate within a healthcare claims platform at an application level without engineering support.
- Strong client-facing communication skills, including the ability to manage escalations, set expectations, and push back on file quality issues constructively.
- Experience working within HIPAA-regulated environments and handling PHI in an operational context.
- Strong attention to detail and ability to identify data discrepancies and configuration errors.
Preferred Qualifications
- Experience with EDI 837/835 transaction formats — claims and remittance file structure and validation.
- Familiarity with multi-tenant healthcare SaaS platforms.
- Revenue cycle management (RCM) background — payer contract interpretation, underpayment identification, or denial resolution.
- Experience with ticketing or case management systems (JIRA, ServiceNow, or similar).
- Familiarity with payer contract structures and healthcare pricing concepts.
Core Competencies
- Deep understanding of healthcare claims and revenue cycle operations
- Strong client communication and issue management skills
- High attention to detail in configuration, data validation, and documentation
- Ability to triage and prioritize multiple client issues simultaneously
- Commitment to HIPAA compliance and healthcare data security
- Collaborative mindset, comfortable working across operations, implementation, and engineering teams
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