Project Manager, Data Operations

Personify Health

Tempe (AZ)

On-site

USD 100,000 - 160,000

Full time

8 days ago
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Job summary

Personify Health in Tempe, AZ is seeking a Project Manager, Data Operations to oversee end-to-end data feeds implementation, including 834 and 837 EDI processes for health plans. You will coordinate with Account Managers, Implementation Managers, clients, and partners; manage testing, documentation, and performance metrics; this role is on-site in Tempe.

Ideal candidates bring 5–9 years in PM/EDI roles, strong analytical skills, and proficiency with JIRA and Confluence to drive data accuracy and

Qualifications

  • Completed a B.S./M.S. in Healthcare Administration, PM or relevant equivalent.
  • 5-9 years’ experience in Business Analyst, PM, Implementation, EDI or related roles.
  • Coordinate integration discussions with third parties and manage testing.
  • Proficient with JIRA, Confluence and common collaboration tools.

Responsibilities

  • Operational Leadership: manage end-to-end data ops project delivery.
  • EDI Configuration: ensure inbound/outbound EDI connections with partners.
  • Change Management: facilitate client benefit changes.
  • Stakeholder Engagement: define scope, objectives, success criteria.
  • Risk Management: identify and mitigate project risks.
  • Quality Assurance: ensure data accuracy and reliability.
  • Reporting & Metrics: provide status updates and KPIs.
  • Process Improvement: enhance data-related workflows.
  • Vendor Management: coordinate with external vendors as needed.

Skills

EDI coordination
Stakeholder management
Documentation
Analytical thinking

Education

B.S./M.S. in Healthcare Administration or Project Management

Tools

JIRA
Confluence

Job description

Overview

Who We Are

Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives.

Learn even more about the work that drives us at personifyhealth.com.

Responsibilities
What You’ll Actually Do

The Project Manager, Data Operations is responsible for coordinating implementation of data feeds into and outbound from the company, including 834, 837, and other proprietary eligibility and claims EDI processes, COB and group files for various health plans.

This includes ensuring success configuring EDI processes, aligning Data Operations with key business priorities and deliverables. This role is technical, requiring an understanding of File Transfer and EDI processes, including eligibility, claims, and accumulators among others.

You will work closely with Account Managers, Implementation Managers, clients, and their benefits partners, as well as the Internal Data Operations teams responsible for execution.

This role is On-Site in Tempe, AZ

Essential Functions/Responsibilities/Duties
  • Operational Leadership: Manage end-to-end project delivery for data operations teams, including requirements gathering, file specification development, execution, and monitoring.
  • EDI Configuration Requirements: Work closely with internal and external partners, along with healthcare providers and payors to ensure all Inbound and Outbound EDI connections are setup properly, including coordinating resolution of any issues
  • Change Management: Facilitate smooth transitions for changes to a client’s benefits
  • Stakeholder Engagement: Collaborate with business leaders, data scientists, engineers, and other stakeholders to define project scope, objectives, and success criteria.
  • Risk Management: Identify and mitigate project risks, ensuring timely resolution.
  • Quality Assurance: Maintain high standards for data accuracy, consistency, and reliability.
  • Reporting and Metrics: Provide regular updates on project status, milestones, and KPIs.
  • Process Improvement: Continuously enhance data-related processes and workflows.
  • Vendor Management: Coordinate with external vendors and partners as needed
Qualifications
What You Bring to Our Team
Education and Experience
  • Completed a B.S./M.S. in Healthcare Administration, Project Management or relevant equivalent
  • 5-9 years’ experience as a Business Analyst, Project Manager, Implementation Manager, Engineer, EDI Specialist, or other related Medical Insurance roles
Required Knowledge, Skills, and Abilities
  • The position requires the ability to coordinate and facilitate integration discussions with third parties, develop and maintain documentation, coordinate extensive testing with multiple parties and perform impact assessments
  • Manage deliverables in JIRA, Confluence, and relevant collaboration tools
  • Enjoy learning about new technologies and how they can be practically applied
  • Determine and document EDI requirements and confirm these meet customer needs by reviewing with internal and external stakeholders.
  • Knowledge of the Healthcare & TPA Industry preferred
  • Excellent critical thinking skills
  • Excellent attention to detail and time management
  • Strong analytical and problem-solving skills
  • Intermediate to Advanced knowledge of Microsoft Office Suite (Excel, Outlook, Word, etc)
  • Demonstrated track record of successfully analyzing data, gathering requirements, and providing valuable insights and solutions to support business decision-making.
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