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.

· 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

Work Environment

Physical Requirements

· Must be able to remain in a stationary position 50% of the time.

· The person in this job needs to occasionally move about inside the office to access office machinery, filing cabinets and meeting facilities.

· Constantly operates a computer and other office productivity machinery, such as copy machine, computer printer, calculator, etc.

· Frequently positions self to maintain files in file cabinets.

· Frequently moves boxes or equipment weighing up to 25 pounds.

· Must communicate information and ideas so others understand. Must be able to exchange accurate information in these situations.

· Must be able to observe details at close range.

Disclaimer

This job description is not intended to contain a comprehensive list of activities, duties, or responsibilities, but constitutes a general description of the scope and function of the role within the company. Activities, duties, and responsibilities are subject to change at any time with or without notice.

Benefits

The Highlights:

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (yes, we use what we build)
• Unlimited PTO—rest and recharge time is non-negotiable
• Mental health support, retirement planning, and financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture where diverse perspectives drive real impact on people's health

Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks.

Compensation: This position offers a base salary range of $84,000 - $100,000, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.