Project Manager, Data Operations - Remote ONLY MEXICO

1 month 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 delivery of healthcare data and EDI implementations (834, 837, 835, 270/271, and related files).
  • Coordinate setup, testing, and monitoring of inbound and outbound data feeds with internal teams and external partners.
  • Gather and document requirements and develop file specifications for data integrations.
  • Manage testing cycles, validate results, and resolve issues during implementation.
  • Partner with Account Management, Implementation, Data Operations, Engineering, and external stakeholders to align priorities and deliverables.
  • Manage client benefit changes and data updates to minimize disruption to production feeds.
  • Identify risks, drive issue resolution, and ensure high data quality, accuracy, and reliability.
  • Provide regular status updates, milestone tracking, and KPI reporting to stakeholders.
  • Drive continuous improvement across data operations processes and workflows.
  • Manage implementation 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 (834, 837, 835, 270/271).
  • Strong understanding of eligibility, claims, coordination of benefits (COB), and benefits data.
  • Experience working with payors, TPAs, healthcare providers, or health tech platforms.
  • Proven 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 data/BI tools.

Interested in this position?

Apply directly on the company website

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