Job Overview
Location
Work From Home (HB)
Job Type
Full-time
Category
Operations
Date Posted
May 13, 2026
Full Job Description
đź“‹ Description
- • The Senior Director of Network and File Operations is a strategic and operational leader responsible for overseeing hospital and provider network integration and the design, delivery, and governance of outbound data integrations to point-solution vendors, strategic partners, and third-party organizations.
- • Day-to-day responsibilities include directing end-to-end integration of hospital, physician, ancillary, and specialty networks; ensuring accurate processing of provider demographics, contracts, fee schedules, and network tiering; partnering with EDI and Network operations teams to maintain data file flows and resolve failure points; developing standardized workflows for network onboarding, mapping, quality assurance, and validation; leading outbound file integration teams to ensure successful implementation with vendors; overseeing adherence to data sharing and security protocols; managing vendor relationships; collaborating with IT to troubleshoot file integration issues; tracking metrics against KPIs and SLAs; owning the lifecycle of file integrations from requirements gathering to monitoring; and establishing SLAs for file delivery, error resolution, and quality control.
- • The role is part of Luminare Health, a purpose-driven organization under Health Care Service Corporation (HCSC) that empowers employees with curated development plans to foster growth and promote rewarding, fulfilling careers. The company invests in professional development and operates with a commitment to equal opportunity employment and a robust total rewards package.
- • In this role, the individual will lead cross-functional teams, establish enterprise integration standards, mentor and develop leaders within the team, shape multi-year roadmaps for digital transformation and integration scalability, and ensure alignment with long-term corporate and operational strategy while driving modernization, standardization, and governance of provider network integration.
🏖️ Benefits
- • Health and wellness benefits
- • 401(k) savings plan
- • Pension plan
- • Paid time off and paid parental leave
- • Disability insurance and supplemental life insurance
- • Employee assistance program
- • Paid holidays
- • Tuition reimbursement
- • Other incentives as part of a robust total rewards package
Skills & Technologies
About Health Care Service Corporation
Health Care Service Corporation is the largest customer-owned health insurer in the United States, operating Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. It provides medical, dental, vision, life, and disability coverage to nearly 17 million members through individual, employer, and government programs. The company emphasizes community health investments, digital services, and value-based care initiatives. Founded in 1936 and headquartered in Chicago, HCSC is licensed as a mutual legal reserve company and governed by its policyholders.
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