Project Manager, Data Operations

Personify Health • Tempe, AZ

6d • Onsite

About The Position

Personify Health is seeking a Project Manager, Data Operations to join their team. This role is responsible for coordinating the implementation of data feeds into and out of the company, including various eligibility and claims EDI processes, COB, and group files for health plans. The position requires an understanding of File Transfer and EDI processes, including eligibility, claims, and accumulators. The Project Manager will work closely with Account Managers, Implementation Managers, clients, their benefits partners, and internal Data Operations teams. This is an on-site role in Tempe, AZ.

Requirements

• 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.
• Ability to coordinate and facilitate integration discussions with third parties.
• Develop and maintain documentation.
• Coordinate extensive testing with multiple parties.
• Perform impact assessments.
• Manage deliverables in JIRA, Confluence, and relevant collaboration tools.
• Determine and document EDI requirements and confirm these meet customer needs by reviewing with internal and external stakeholders.
• 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.
• Competence in using various data analysis tools, such as Excel, SQL, Tableau, Power BI, or other relevant software.
• Experience with ANSI 5010 transactions like 837, 835, 834, 270/271.
• Excellent communication skills to interact with cross-functional teams, articulate complex information to diverse stakeholders, and present findings in a clear and understandable manner.
• Ability to work collaboratively, facilitate discussions, and negotiate requirements among various teams.

Nice To Haves

• Enjoy learning about new technologies and how they can be practically applied.
• Knowledge of the Healthcare & TPA Industry preferred.

Responsibilities

• Manage end-to-end project delivery for data operations teams, including requirements gathering, file specification development, execution, and monitoring.
• 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.
• Facilitate smooth transitions for changes to a client’s benefits.
• Collaborate with business leaders, data scientists, engineers, and other stakeholders to define project scope, objectives, and success criteria.
• Identify and mitigate project risks, ensuring timely resolution.
• Maintain high standards for data accuracy, consistency, and reliability.
• Provide regular updates on project status, milestones, and KPIs.
• Continuously enhance data-related processes and workflows.
• Coordinate with external vendors and partners as needed.

Benefits

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions
• Unlimited PTO
• Mental health support
• Retirement planning
• Financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture where diverse perspectives drive real impact on people's health

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level