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.
- 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
RequirementsWhat 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
Skills 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 analytical tools
- Experience using Jira and Confluence for documentation and delivery
What We Do
Scalepex is a minority-owned transformational consulting and BPO firm that specializes in talent solutions to help businesses scale efficiently. Leveraging a unique AI platform, they provide staffing, placement, and nearshore services across industries like technology, finance, and healthcare. Their mission focuses on individualized support, cost management, and strategic execution, aiming to connect underserved communities with world-class opportunities while ensuring client success and professional satisfaction for their team members.
