Data Operations Manager

Summary

Join Sword Health, a rapidly growing company with a mission to alleviate pain for millions, as a Data Operations Manager. You will play a crucial role in integrating clients into Sword's solutions by building and maintaining data pipelines that process large volumes of healthcare data. This position requires a self-starter with expertise in data validation, monitoring, and regulatory compliance. You will collaborate with cross-functional teams to ensure data quality and timely delivery, while also communicating technical details to non-technical stakeholders. This role offers a stimulating environment, career growth opportunities, competitive salary, and a flexible work policy.

Requirements

• Eligibility and Claims Data: In-depth knowledge of eligibility, medical claims, pharmacy claims, and prior authorization data, including how these data sets are structured, interpreted, and used across the healthcare ecosystem
• Regulatory Knowledge: Competence in handling Protected Health Information (PHI) within HIPAA and other relevant regulatory frameworks, with a strong sense of data governance and security
• Proven experience writing and optimizing SQL queries to extract and analyze large datasets
• Knowledge of secure transport protocols (SFTP) and data encryption
• Strong understanding of ETL processes, data integration, system architecture
• Cross-Functional Collaboration: Comfortable working with cross-functional teams—customer success managers, data engineers, product managers, clinical operations, payer partners—to gather and validate requirements, clarify data definitions, and ensure timely delivery of data feeds
• Domain Communication: Capable of translating technical details into language that non-technical stakeholders understand, while also diving deep into technical specifics when collaborating with engineers
• Vendor & Partner Relations: Negotiates technical requirements and SLAs (Service Level Agreements) with external vendors, payers, and healthcare networks, ensuring seamless interoperability
• Detail-Oriented & Process-Driven: Capacity to maintain meticulous documentation of processes to support troubleshooting and repeatability
• Problem-Solving: Thrives on diagnosing issues, reconciling data discrepancies, and proposing process improvements that reduce recurring errors and operational overhead
• Growth focused: Experience and desire to work in a fast-moving high growth environment and having the ability to plan, organize, prioritize and execute multiple activities/projects simultaneously

Responsibilities

• ETL (Extract, Transform, Load) Pipelines: Adept at building and maintaining data pipelines that can process large volumes of healthcare data. This includes cleaning, validating, merging, and enriching data from disparate sources
• Validation & Cleansing: Implement automated data validation rules to ensure data quality and integrity, proactively identifying errors such as mismatched fields, missing data, or invalid codes (e.g., ICD, CPT)
• Monitoring & Alerting: Sets up robust monitoring and alerting systems (e.g., via logs or dashboards) to detect processing failures, latency issues, or data anomalies in near real time

Preferred Qualifications

• Familiarity with data brokers like Availity or Change Healthcare, or familiarity with EDI workflows, especially 270/271 transactions
• 3+ years of experience in a data-centric role

Benefits

• A stimulating, fast-paced environment with lots of room for creativity
• A bright future at a promising high-tech startup company
• Career development and growth, with a competitive salary
• The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare
• A flexible environment where you can control your hours (remotely) with unlimited vacation
• Access to our health and well-being program (digital therapist sessions)
• Remote or Hybrid work policy
• Comprehensive health, dental and vision insurance*
• Life and AD&D Insurance*
• Financial advisory services*
• Supplemental Insurance Benefits (Accident, Hospital and Critical Illness)*
• Health Savings Account*
• Equity shares*
• Discretionary PTO plan*
• Parental leave*
• 401(k)
• Flexible working hours
• Remote-first company
• Paid company holidays
• Free digital therapist for you and your family