Project Manager, Data Operations (Fully Remote)

3 weeks, 1 day ago
Full-time
Senior
Project and Program Management
Scalepex

Scalepex

Scalepex is a transformational consulting company with over 21 years of experience in managing and developing human capital. They provide onshore and nearshore BPO services, focusing on aligning with client growth strategies and delivering impactful ta...

Professional Services
51-250
Founded 2021

Description

  • Lead end-to-end healthcare data and EDI implementation projects for inbound and outbound file exchanges.
  • Coordinate setup, testing, and monitoring of data feeds with internal teams and external partners.
  • Gather and document business and technical requirements and translate them into file specifications.
  • Manage testing cycles and support validation of data integrations and file deliveries.
  • Partner with Account Management, Implementation, Data Operations, Engineering, clients, payors, TPAs, and vendors to align priorities and deliverables.
  • Manage client benefit changes and data updates while minimizing disruption to operations.
  • Identify project risks, drive issue resolution, and help ensure data quality, accuracy, and reliability.
  • Provide regular status updates, milestone tracking, and KPI reporting.
  • Drive continuous improvement across data operations processes and workflows.
  • Manage project documentation and delivery using tools such as JIRA and Confluence.

Requirements

  • 5–9 years of experience in healthcare data, EDI, project management, or implementation roles.
  • Hands-on experience with ANSI 5010 EDI transactions, including 834, 837, 835, and 270/271.
  • Strong understanding of eligibility, claims, COB, and benefits data.
  • Experience working with payors, TPAs, healthcare providers, or health tech platforms.
  • Excellent stakeholder management, communication, and problem-solving skills.
  • Strong attention to detail and ability to manage multiple priorities in a remote environment.
  • Proficiency with Microsoft Office.
  • Experience with SQL, Tableau, Power BI, or similar tools is required.
  • Experience with JIRA and Confluence is preferred.
  • Experience translating complex requirements into execution plans is preferred.

Interested in this position?

Apply directly on the company website

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