60 Edifecs Jobs Hiring Near You

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

Manager - General

• Manage the activities, processes, and continuous improvement of the TPDM platforms and operational excellence functions. Ensure that the teamcomplies withchangecontrol guidelines and operational standards.

• Coordinate with the EDI, ETL, and Delivery pillar leads on cross-pillar initiatives, escalations, and operational priorities. Serve as a cross-pillar resource and integrative leader, not a supervisor of the pillar leads.

• Provide direction and resources to deliver platform health, operational excellence, and strategic execution outcomes effectively.

• Provide clear and concisecommunicationkeeping stakeholders informed and escalating issues to senior leadershiptimelyto minimize disruption.

• Give presentations, organize operating reviews, and conduct platform scorecard discussions with audiences ranging from technical teams to executive leadership.

• Develop a culture of trust, accountability, teamwork,high qualityresults, and continuous service improvement.

• Demonstrate leadership abilities along with good judgment and decision-making skills.

• Mentor and coach TPDM team members across all three pillars. Hold team members accountable for adhering to corporate policies and procedures.

Senior Manager - General

• Coach other leaders on the TPDM team, including pillar leads, on operational excellence disciplines.

• Manage multiple concurrent strategic initiatives, platform improvement programs, and operational deliverables.

• Plan, build, and run cross-pillar operational programs that span the EDI, ETL, and Delivery functions.

• Communicate proficiently with senior leaders, including Staff VP and executive stakeholders. Represent TPDM in cross-functional governance forums when delegated by the Director.

• Overcome blockers and deliverobjectivescreatively and strategically. Work with the team to create visibility on the health of TPDM platforms andthe workflowswithin the organization.

• Demonstrate readiness to cover Director responsibilities during absence as succession trajectory progresses.

Platform Stewardship & Performance Assurance

• Own andmaintainthe Edifecs platform performance assurance scorecard - tracking uptime, throughput, error rates, SLA adherence, and integration performance across all trading partners.

• Establish, document, and enforce Edifecs platform standards - configuration governance, change management procedures, environment controls, and platform-level run and build books.

• Drive capacity management and technical debt management for the Edifecs platform -anticipatingdownstream technical needs and preventing capacity-driven outages.

• Serve as primary BCBSAZ point of contact for the Edifecs vendor relationship - managing escalations, roadmap alignment sessions, license tracking and management, and contract milestones at the operational level.

• Lead platform governance decisions - approval thresholds, rollback procedures, and patching / upgrade discipline.

• Monitor and report on the Edifecs SaaS migration implementation status, TCO realization, and milestone completion against the approved business case.

Operational Excellence & Continuous Service Improvement

• Own the TPDM Intake & Triage process -maintainingthe framework, improving the intake workflow, and reporting on intake volume and resolution trends.

• Serve as the first escalation path for cross-pillar operational issues, absorbing decisions that would otherwise route to the Director.

• Drive continuous service improvement across the EDI, ETL, and Delivery pillars -identifyingfriction, standardizing workflows, and applying disciplines that drive operational maturity and prevent outages.

• Build and maintain TPDM operational metrics, scorecards, and reporting dashboards - providing leadership withtimelyvisibility into organizational health, trading partner status, and performance against goals.

• Identify, scope, and partner with technical teams to implement automation opportunities that reduce manual effort and improve reliability.

• Maintain documentation governance across the TPDM Confluence environment - ensuring accuracy and currency of run books, build books, and partner documentation against established standards.

Strategic Execution & Innovation Enablement

• Serve as the Director's operational counterpart - translating strategic vision into executable plans andmaintainingmomentum on initiatives between cycles of strategic attention.

• Drive the TPDM career development program -maintainingthe skill matrix, facilitating individual development plan conversations, andidentifyingtraining pathways for team members.

• Lead and advance TPDM governance frameworks - including the Trading Partner File Integration Governance, build governance standards, and quality assurance processes.

• Own staffing plan documentation -maintainingorganizational design artifacts, succession maps, and headcount justification materials.

• Champion documentation best practices across the organization - setting the standard for how TPDM produces,maintains, and retires documentation assets.

• Partner with the Director on external stakeholder engagement - including governance committee relationships, cross-departmental partnerships, and vendor coordination.

Operations

• Oversee day-to-day cross-pillar operational administration by coaching and motivating departmental personnel to make maximum use of experience and skills.

• Develop staff, including development and maintenance of training materials,establishingperformance goals, regular follow-up with staff, and year-end performance evaluation support.

• Maintain effective working relationships to ensure teamwork in achieving corporate goals.

• Ensure service level agreements areestablished, monitored, and managed effectively;identify, prioritize, and resolve issues with business areas and vendors.

• Monitor quality performance, develop andmaintaineffective workflows, andseekto maximize systemefficiencies.

• Review relevant production and operating policies to ensure the most efficient processes are in place anddeterminetactical plans to improve processes and services.

• Participate with management in formulating goals for the team. Participate inbudgetingprocess, including resource capacity planning.

Strategy

• Participate in developing technicalstrategyto scale and standardize Trading Partner data management and platform operations.

• Establish and meet short- and long-term department goalsin accordance withoverall companyobjectivesand divisional strategic planning.

• Assist inidentifyinggaps, mitigating issues, and developing alternative solutions for plans in play.

• Partner with other tech...