обновлено 9 дней назад
Project Manager, Data Operations (EDI)
84 000 - 100 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Project Manager, Data Operations (EDI): Coordinating the implementation and operation of inbound and outbound healthcare data feeds, including eligibility, claims, COB, and group-file EDI processes, with an accent on requirements gathering, configuration, testing, and data quality. Focus on managing cross-functional delivery, resolving integration issues, mitigating project risks, and improving data operations workflows.
Location: On-site in Tempe, Arizona, United States
Salary: $84,000–$100,000 base salary per year, depending on location, skills, and experience.
Company
provides a personalized health platform combining health plan administration, wellbeing solutions, and care navigation for employers, health plans, and health systems.
What you will do
- Manage end-to-end delivery of data operations projects, including requirements gathering, file specifications, execution, and monitoring.
- Coordinate inbound and outbound EDI connections for eligibility, claims, accumulators, COB, and group files.
- Work with account managers, implementation managers, clients, benefits partners, healthcare providers, payors, and internal data operations teams.
- Facilitate benefits-related change management and resolve integration issues with internal and external partners.
- Define project scope, objectives, success criteria, milestones, and KPIs with business leaders, data scientists, engineers, and other stakeholders.
- Manage risks, vendor coordination, data quality, reporting, and continuous process improvement.
Requirements
- Completed B.S./M.S. in Healthcare Administration, Project Management, or a relevant equivalent field.
- 5–9 years of experience as a business analyst, project manager, implementation manager, engineer, EDI specialist, or in a related medical insurance role.
- Experience coordinating integration discussions, documenting requirements, managing testing, and performing impact assessments.
- Knowledge of EDI and ANSI 5010 transactions, including 837, 835, 834, and 270/271.
- Experience with data analysis tools such as Excel, SQL, Tableau, or Power BI, plus JIRA, Confluence, and Microsoft Office.
- Strong analytical, problem-solving, communication, facilitation, negotiation, organizational, and time-management skills.
Nice to have
- Knowledge of the healthcare and third-party administrator industry.
- Experience with file transfer processes, eligibility, claims, accumulators, and healthcare data operations.
Culture & Benefits
- Competitive base salary and benefits effective from day one.
- Medical and dental coverage, including 's own health solutions.
- Unlimited paid time off.
- Mental health support, retirement planning, and financial protection.
- Professional development, learning budgets, and career progression opportunities.
- Mission-driven, inclusive workplace focused on improving people's health.
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