Technical Operations Analyst

Crumdale Specialty

Technical Operations Analyst managing file operations and vendor data integrations for a diversified insurance firm. Responsible for operational reporting and data quality in TPA environment.

Posted 5/27/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

ATS Keywords

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Hard Skills

SQLfile processingdata extractiondata transformationdata reconciliationreportingfile automation workflowstroubleshootingdata auditsfile formats

Soft Skills

analytical mindsetattention to detailcommunication skills

Tools & Technologies

SFTPAPIsvendor data exchanges

Industry Keywords

TPA operationshealthcare data operationsEDIeligibilityclaimsaccumulatorsPBMnetwork integrations

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Own all inbound and outbound file processes across vendors (PBM, networks, medical management, etc.).
Monitor, validate, and reconcile daily file activity (eligibility, claims, accumulators, EOBs, etc.).
Ensure proper file formatting, delivery, acknowledgments, and error resolution.
Troubleshoot and resolve file failures across SFTP connections, vendors, and internal systems.
Maintain and optimize file workflows to support scalability and automation.
Serve as the primary technical contact for vendor file integrations.
Manage connectivity across SFTP platforms, APIs (where applicable), and vendor data exchanges.
Build, maintain, and enhance operational and client-facing reports using SQL.
Perform cross-system data audits between claims system, vendor outputs, and internal reporting.
Support new client implementations from a file and reporting readiness perspective.
Identify opportunities for automation, efficiency improvements, and standardization.

Requirements

What you’ll need

5+ years of experience in TPA operations, healthcare data operations, EDI, or technical operations.
Strong experience managing inbound/outbound file processing across multiple vendors.
Advanced SQL skills required (data extraction, transformation, reconciliation, reporting).
Experience with file formats such as 834, 835, 837, CSV, flat files, JSON.
Hands-on experience with SFTP platforms and file automation workflows.
Strong understanding of TPA ecosystem (eligibility, claims, accumulators, PBM, network integrations).
Proven ability to troubleshoot complex data and file issues across systems and partners.
Strong analytical mindset with attention to detail and data accuracy.
Excellent communication skills with both technical and non-technical stakeholders.

Benefits

Comp & perks

- Medical
- Telemedicine
- Dental
- Vision
- Life, AD&D, Disability
- 401(k)
- Flexible Time-off