Project Manager, Data Operations (Fully Remote)

Scalepex; Plano (TX); Remote; USD 80,000 - 110,000; Full time

Job summary

A healthcare data solutions provider is seeking a Project Manager for Data Operations to lead the implementation of healthcare data integrations and EDI. In this fully remote role, you'll manage the delivery of data operations, coordinate with stakeholders, and ensure data quality across various platforms. The ideal candidate will have 5–9 years of experience in healthcare data, excellent communication skills, and hands-on experience with EDI transactions. Strong proficiency with tools like JIRA, SQL, Tableau, and Power BI is required.

Qualifications

• 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.

Responsibilities

• Lead end-to-end delivery of healthcare data and EDI implementations.
• Coordinate setup, testing, and monitoring of inbound and outbound data feeds.
• Gather and document requirements, develop file specifications, and manage testing cycles.

Skills

Healthcare data management

Stakeholder management

Problem-solving

Attention to detail

Communication

Tools

JIRA

Confluence

SQL

Tableau

Power BI

Job description

Project Manager, Data Operations (Fully Remote)

About the Role

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.

What 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