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Project Manager, Data Operations (Fully Remote)

Role overview

Qualifications

  • 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.

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.

About the company

Scalepex logo

Scalepex

Staffing & Recruiting

Business growth and sustainment are top priorities, combine that with the ongoing need to curb costs and you have treacherous challenges. Scalepex provides individualized, high-touch support to our clients to meet their unique needs.We seek to understand where your strengths and gaps are and design a solution with you and iterate as we move forward to keep up with the ever-changing landscape. If you are looking for a firm that fills this void in the marketplace, you’ve come to the right place.Our social responsibility is to touch the untapped markets and people of underserved communities.

Company details

Company typeScaleup
IndustryStaffing & Recruiting
Company size51 - 200

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Job description

Project Manager, Data Operations (Fully Remote)

About the Role

We’re hiring a Project Manager, Data Operations to lead healthcare data integrations and EDI implementations across inbound and outbound data feeds. This fully remote role partners closely with internal teams, clients, payors, TPAs, and vendors to deliver reliable, high-quality eligibility, claims, and benefits data.

This is a hands-on, technical project management role for someone who understands healthcare EDI, thrives in cross-functional environments, and can translate complex requirements into clear execution plans—while working effectively in a remote setting.

What You’ll Do

  • 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.

What You Bring

  • 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

Requirements

What You Bring

  • 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

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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