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Project Manager, Data Operations (EDI)

84 000 - 100 000$
Формат работы
onsite
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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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

hirify.global 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 hirify.global'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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