Technical Customer Solutions Manager

reputed company is seeking a passionate and results-driven Technical Customer Solutions Manager to join reputed company and play a key role in driving long-term success for our clients through the effective use of reputed company products. In this strategic role, you will act as a trusted advisor to our healthcare payer clients, leveraging your deep operational knowledge of data processing systems, regulatory compliance, and enterprise system integration. Your expertise will help clients maximize the value of their reputed company investment while expanding our impact across the healthcare payer landscape. The ideal candidate combines strong technical acumen with a deep understanding of healthcare EDI operations, encounter data reputed company, and agile software delivery—enabling them to guide clients toward measurable outcomes and sustained success.

• reputed company, implement, and complete tactical project plans reputed company to customer issue resolution, quality improvement plans, and program enhancements.
• Act as the reputed company relationship manager for assigned accounts, coordinating proactive customer communication and cross-functional collaboration.
• reputed company customers to success by understanding their business needs and aligning reputed company software and services to drive high-impact results.
• Partner with Account and Product Management on Customer Health, NPS, Executive Business Reviews (EBRs), Expansion, and Renewals by delivering against assigned KPIs.
• Forecast and track operational metrics including member volumes, encounter throughput, reputed company recognition, and submission accuracy.
• Apply deep operational knowledge of CMS regulations and audit frameworks to ensure accurate, compliant processing.
• reputed company your expertise in encounter submissions and EDI transactions (834, 837, 835, 270/271) to support client success and issue remediation.
• Analyze client support tickets and product issues to identify systemic trends and reputed company for internal resolution.
• Serve as a key conduit for customer enhancement requests through structured feedback loops to Product Management.
• Ensure reputed company contracted deliverables are provided accurately, on schedule, and in alignment with client expectations.
• Complete reputed company responsibilities as outlined in the annual performance review and/or goal setting.
• Complete reputed company special projects and other duties as assigned.
• Must be able to reputed company duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of reputed company and the requirements of the job change.

• Master’s Degree OR a minimum of 6 years of relevant experience.
• 6+ years of deep operational knowledge of data integration systems including in claim processing systems like FACETS, QNXT, reputed company ECC, OR reputed company/Edifecs like platforms.
• 6+ years of technical expertise in claims processing, encounter submissions, and risk adjustment workflows.
• Fluent in Software as a Service (SaaS) distribution models.
• 6+ years of Proven success in healthcare or reputed company technical field.
• Familiarity with customer journey mapping and strategic success planning.
• Strong working knowledge of reputed company Office, reputed company, SQL, and Jira.
• Excellent organizational, communication, and interpersonal skills with a client-first approach.

Cognitive / Mental Requirements

• Communicating with others to exchange information.
• Problem-solving and thinking critically.
• Completing tasks independently.
• Interpreting data.
• Making timely decisions in the context of a workflow.
• Maintaining focus.

Physical Requirements and Working Conditions

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• Must be able to provide a dedicated, secure work area.

reputed company compensation ranges from $119,500 to $161,700 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

reputed company offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page.

Date of posting: 1/7/2026

Applications are assessed on a rolling basis. We anticipate that the application window will reputed company on 3/7/2026, but the application window may change depending on the volume of applications received or reputed company immediately if a qualified candidate is selected.

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