As a technology leader in healthcare process automation and interoperability, Smart Data Solutions (SDS) company is a strategic partner that utilizes data and intelligent automation to digitally transform operations and deliver outcomes for clients which reduces costs, streamline workflows, and improves overall customer experience. Looking to the future, Smart Data Solutions has ambitious growth plans for the next few years and is currently seeking a Production Manager to join our growing team. 

What be you’ll doing? 

The production manager is to evaluate all keying staff, ensure turnaround time is met, and maintain a high level of quality as outlined by Smart Data Solutions’ Service Guarantee Policy.

• Oversees all SDS production to ensure Turnaround Time (TAT) and accuracy requirements are met.
• Assist in the development of new applications in conjunction with emerging SDS strategies.
• Provide customer support to resolve problems and answer questions.
• Monitor and maintain all aspects of the movement of claims in and out of SDS processes.
• Communicate with vendors on a daily basis and regularly maintain any procedural changes.
• Providing feedback to clients to ensure that SDS turnaround time is met.
• Maintaining high SDS quality.
• Maintaining security by conducting background checks, through VPN access, changing passwords on a quarterly basis, disabling access to terminated keyers and managing IP address configurations.
• Determining claim volume.
• Adhering to all HIPAA regulation – ensuring all staff (both domestic and international) are HIPAA Compliant.
• Ensuring all information is kept confidential by monitoring workspace and computer workstations to guarantee that no personal information can be accessed.
• Disposing of all Private Healthcare Information (PHI) via a shredder.
• Protecting all PHI exchanged between parties.
• Takes on additional tasks as needed for the continual success of SDS.

What we’re looking for? 

Required Skills:

Production Manager should demonstrate a full understanding of all SDS systems. Ability to problem solve and provide applicable input to enhance specific SDS applications.

Business Analysis Skills:

• Strong understanding of the payer market.
• Ability to interpret high-level business processes.
• Strong understanding of SDS workflow and interrelationship of SDS processes.
• Ability to problem solve in a fast-paced environment.
• Strong knowledge of Microsoft Excel.
• Ability to process high volume of detail.

Communication Skills:

• Display clear and concise written and verbal communication skills. Maintain a polite and courteous communication style with both customers and fellow employees.

Other requirements:

• Availability to work nights and weekends as necessary.
• Understanding of SQL with the ability to write and troubleshoot queries.

Requirements:

• 2 or 4-year technical degree (or equivalent)
• 0-1 year of similar experience
• Experience with technologies listed in the previous section

Why this is the company for you? 

Top Benefits & Perks: 

• A company culture that is authentic and values teamwork, humility, and fairness! We work hard for our customers and have fun along the way!
• A professional development and growth-oriented workplace
• Generous benefits including medical/accidental insurance and Social Security Fund contribution.
• Work-life balance with a 5-day work week and leaves as per the Labor Law of Nepal.
• Hybrid and Remote work opportunity

Who is Smart Data Solutions?  

Smart Data Solutions is a technology vendor that brings 22 years of healthcare experience using intelligence and automation to extract data from front office mailroom operations. Today, the company is expanding out from its front office focus and targeting its open-source automation and AI engines toward the entire healthcare operations value chain.  One of the key benefits of working with Smart Data Solutions is their specialized approach to data capture and automation. Smart Data Solutions takes a comprehensive approach to image and document processing, using multiple engines and hundreds of thousands of lines of code to ensure accuracy and make sense of data. Smart Data Solutions has also invested heavily in EDI interoperability, with clearinghouse capabilities that enable them to pivot towards providing value-added services. Using the data they have collected, they are able to offer population health insights to clients, helping them make informed decisions about their largest areas of spending and identifying potential opportunities for cost savings.  

Smart Data Solutions’ global headquarters are just outside of St. Paul, MN with 400+ employees and leverages dedicated onshore and offshore resources as part of its service delivery model. The company counts over 500 healthcare organizations as clients, including multiple Blue Cross Blue Shield state plans, regional health plans and TPAs, handling over 2 billion transactions of varying types annually with a 98%+ customer retention rate. SDS plans to continue investments into meaningfully in automation and machine learning capabilities across its tech-enabled processes to drive scalability and greater internal operating efficiency while also improving client results. 

SDS has partnered with a leading growth-oriented investment firm, Parthenon Capital Partners, and the Blue Venture Fund, a unique collaboration among Blue Cross Blue Shield (BCBS) companies, to further accelerate expansion and product innovation. 

Smart Data Solutions acquired JMS and Associates in Q3 of 2022. The combination of both SDS’ and JMS’ tech-enabled solutions will bring greater operational efficiency through automation to various markets across the healthcare industry. We are able to provide a greater product suite, allowing us to broaden the scope of our solutions to solve more business challenges for our clients and across the industry. 

Smart Data Solutions is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. 

Work shift : 7:45 PM - 3:45 AM