Crumdale Specialty
insurance
TechnicalOperationsAnalyst
“Technical Operations Analyst at Crumdale Specialty. Skills: File Operations, Vendor Integration, Reporting, Data Quality. Own inbound and outbound file processes. Monitor, validate, and reconcile daily file activity”
What You'll Achieve.
Ensuring accurate, timely, and scalable data exchange across all partners; Support the evolution of a scalable TPA operating model as client and vendor volume grows
Industry & Context.
Troubleshoot and resolve file failures across SFTP connections, vendors, and internal systems; Coordinate with vendors and claims system to resolve discrepancies, mapping issues, and data inconsistencies; Identify and resolve root causes of data discrepancies (eligibility, claims, accumulators)
What They're Looking For.
Must Have
5+ years of experience in TPA operations, healthcare data operations, EDI, or technical operations, 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, Understanding of TPA ecosystem (eligibility, claims, accumulators, PBM, network integrations), Proven ability to troubleshoot complex data and file issues across systems and partners, Analytical mindset with attention to detail and data accuracy, Excellent communication skills with both technical and non-technical stakeholders
What You'll Do.
Own inbound and outbound file processes
and reconcile daily file activity
Ensure proper file formatting
Troubleshoot and resolve file failures
Maintain and optimize file workflows
Serve as primary technical contact for vendor file integrations
Manage connectivity across SFTP platforms
Coordinate with vendors and claims system
Ensure alignment between vendor requirements and internal system capabilities
and enhance operational reports using SQL
Translate business and client reporting needs
Support reporting across eligibility
Partner with internal teams for reporting insights
Perform cross-system data audits
Identify and resolve root causes of data discrepancies
Ensure consistency of data across systems
Develop processes to monitor data quality
Support new client implementations
Ensure vendor file connections are tested
Partner with leadership to meet deadlines
Assist in defining file requirements
Develop and maintain SOPs
Identify opportunities for automation
Support evolution of TPA operating model
How You'll Work.
Team & Collaboration
Partner with internal teams (Account Management, Claims, Finance) to deliver accurate reporting insights; Partner with implementation and TechOps leadership to meet critical deadlines and dependencies
Communication Scope
Excellent communication skills with both technical and non-technical stakeholders
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