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Eligibility Operations Manager

Roles & Responsibilities

  • 8+ years of experience in analytics, implementation, client services, or operations in healthcare services or technology
  • Strong verbal and written communication skills with the ability to facilitate conversations between technical and non-technical audiences
  • Working knowledge of eligibility file import ETLs and healthcare file formats such as 834 or HL7
  • Bachelor's degree required; master's degree in Science, Technology, or Operations is a plus

Requirements:

  • Work cross-functionally with Sales, Client Development, Member Outreach, Product, Engineering, Clinical Operations, Support, Revenue Cycle, and Analytics to ensure a smooth partner onboarding experience
  • Own client eligibility file setup, ongoing monitoring, and accuracy including file processing and issue resolution
  • Own client QA processes ensuring accuracy and on-time launches
  • Document client business requirements and serve as liaison with internal and external technical teams

Job description

About us:
Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Our platform is designed to foster healthier food choices, drive lasting behavior change, and deliver long-term health outcomes. Through our highly personalized, digital platform, we guide our 2.2 million members—including those in employer-sponsored health plans, regional and national Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers—on a tailored journey to eating well while saving time and money.

Foodsmart seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both at home and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing tangible access to nutritious food. In 2024, Foodsmart secured a $200 million investment from TPG’s Rise Fund, which supports entrepreneurs dedicated to achieving the United Nations’ Sustainable Development Goals. This investment will help us expand our reach, particularly to low-income workers who are disproportionately affected by diet-related diseases. 

At Foodsmart, our mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. We are committed to a set of core values that shape our culture and work environment:

👥 Customer First - You start with the member and work backwards.
🚀 Make It Happen - You act with urgency, use data, and hold high standards.
🤝 One Team - You collaborate with respect and commit as a group.


Whether you're a dietitian, a commercial leader, or a technologist, working at Foodsmart means being part of a team that is passionate, supportive, and driven by a shared purpose. Join us in transforming the way people access and enjoy healthy food.


About the role:
As an Eligibility Operations Manager, you will serve as the bridge between our partner’s business requirements and technical solutions. You will work with internal and external business and technical teams to map member workflows and requirements in order to deliver a high quality customer onboarding experience. This role is critical to ensuring our solution is optimized to meet our partner’s business objectives. 

 

You will:

  • Work cross-functionally with Sales, Client Development, Member Outreach, Product, Engineering, Clinical Operations, Support, Revenue Cycle, and Analytics to ensure a smooth partner onboarding experience.
  • Own client eligibility file setup, ongoing monitoring, and accuracy including file processing and issue resolution.
  • Own client QA processes ensuring accuracy and on-time launches.
  • Document client business requirements and serve as liaison with internal and external technical teams.
  • Lead client conversations about data integrations, configuration requirements, member workflows,  and benefit design during pre-sales scoping and implementation discussions.
  • Identify and escalate risks to a successful implementation and delivery or ongoing partnership, pivoting to ensure bottlenecks are addressed in a timely manner.
  •  

    You are:

  • Motivated, collaborative, a quick learner, and results-oriented
  • Experienced leading matrixed internal and external teams through complex projects
  • Able to work quickly to adapt to new challenges and deliver results with minimal oversight
  • Comfortable in a dynamic work environment with a passion for impacting health outcomes at scale
  • A strategic thinker able to proactively identify and resolve complex issues in an evolving environment
  • Knowledgeable about how health plans serve members across Medicare, Medicaid, and Commercial lines of business 
  •  

    You have:

  • 8+ years of experience in an analytics, implementation, client services, or operations role at a in healthcare services or technology company
  • Strong verbal and written communication skills with the ability to synthesize complex information and facilitate conversations between technical and non-technical audiences
  • Strong problem solving skills, capable of identifying root causes and evaluating potential solutions with intrinsic motivation to move work forward
  • Working knowledge of eligibility file import ETLs and healthcare file formats such as 834 or HL7
  • Working knowledge of MySQL or PostgresSQL  
  • Working knowledge of SSO technologies such as SAML 2.0 and OAuth 2.0
  • Bachelor's degree is required; Masters in Science, Technology, or Operations field is a plus
  •  
    Preferred but not required:
  • Experience in a startup or small company environment
  • Understanding of the telehealth and nutrition spaces
  •  

    About our benefits and perks:

    ✅ Remote-First Company
    ✅ Unlimited PTO
    ✅ Flexible & remote location
    ✅ Healthcare Coverage (Medical, Dental, Vision)
    ✅ 401k & bonus
    ✅ Registered Dietitian Sessions 


    Foodsmart is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other protected class.

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