Project Manager, Data Operations (Fully Remote) - Full-time

Remote Full-time
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

Requirements
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

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

Requirements
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

Apply tot his job

Apply To this Job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Experienced Remote Data Entry Specialist – Part-Time, Entry-Level Opportunity to Work from Home with Flexible Hours

Remote

Experienced Full Stack Customer Service Representative – Order Entry and Sales Development at Blithequark

Remote

Medical Reviewer - Home Health and Hospice

Remote

[Remote] Sr. SAFe Scrum Master (API Integration Initiative) - 100% remote

Remote

[Remote] Customer Due Diligence Analyst

Remote

Architectural Designer / Building Design Consultant

Remote

SVP, Chief Data Officer - hybrid in Chicago, IL

Remote

REMOTE - QA Testing Analyst Sr

Remote

Alternative Funding Financial Consultant

Remote

Chief Teaching & Learning Officer – Chicago Public Schools in Chicago, IL in Stronger Consulting (job Id: 1689460463)

Remote
← Back