Remote Healthcare Data Operations Project Manager

Scalepex; Mexico; Hybrid; MXN 900,000 - 1,300,000; Full time

Job summary

Scalepex is seeking a Project Manager, Data Operations to lead healthcare data integrations and EDI implementations across inbound and outbound feeds in a fully remote setup.

The role requires coordinating with internal teams, payors, TPAs, and vendors to deliver accurate eligibility, claims, and benefits data while translating complex requirements into actionable plans in a remote environment.

Qualifications

• 5-9 years in healthcare data, EDI, PM, or implementations.
• Hands-on ANSI 5010 EDI (834/837/835/270-271) experience.
• Strong knowledge of eligibility, claims, COB and benefits data.
• Experience with payors, TPAs, providers, or health tech platforms.
• Excellent stakeholder management, communication, and problem solving.
• Attention to detail; able to manage multiple priorities remotely.
• Proficiency with Microsoft Office; SQL/Tableau/Power BI or similar tools.

Responsibilities

• Lead end-to-end delivery of healthcare data and EDI implementations (834, 837, 835, 270/271).
• Coordinate setup, testing, and monitoring of 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.

Skills

Healthcare data

EDI

Project management

ANSI 5010

Stakeholder management

SQL

Tableau

Power BI

Remote work

Testing & QA

Tools

JIRA

Confluence

Microsoft Office

Job description

Scalepex is seeking a Project Manager, Data Operations to lead healthcare data integrations and EDI implementations across inbound and outbound feeds in a fully remote setup.

The role requires coordinating with internal teams, payors, TPAs, and vendors to deliver accurate eligibility, claims, and benefits data while translating complex requirements into actionable plans in a remote environment.