Scalepex · 1 day ago
Project Manager, Data Operations (Fully Remote)
Scalepex is hiring a Project Manager, Data Operations to lead healthcare data integrations and EDI implementations. This role involves collaborating with various stakeholders to ensure high-quality data delivery and managing project requirements in a remote setting.
FinanceProfessional ServicesStaffing Agency
Responsibilities
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, develop file specifications, and manage testing cycles
Partner with Account Management, Implementation, Data Operations, Engineering, and external stakeholders to align priorities and deliverables
Manage client benefit changes and data updates with minimal disruption
Identify risks, drive issue resolution, and ensure high data quality, accuracy, and reliability
Provide regular status updates, milestone tracking, and KPI reporting
Drive continuous improvement across data operations processes and workflows
Manage documentation and delivery using tools such as JIRA and Confluence
Qualification
Required
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, 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