Project Manager, Data Operations

Who We Are

Because health is personal. Thats why Personify Health created the first and only personalized health platformbringing 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 .

What Youll 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 clients 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

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/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

At Personify Health we value and celebrate diversity and we are committed to creating an inclusive environment for all employees. We believe in creating teams made up of individuals with various backgrounds experiences and perspectives. Why Because diversity inspires innovation collaboration and challenges us to produce better solutions. But more than this diversity is our strength and a catalyst in our ability to change lives for the good.

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 PTOrest 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 peoples health

Want the full pictureVisit explore our complete benefits package wellness programs and other employee perks.

Compensation: This position offers a base salary range depending on location skills and experience. Youre eligible for our full benefits package starting day one.

Our Commitment:Personify Health is an equal opportunity employer committed to diversity equity inclusion and belonging. We cultivate a work environment where differences are celebrated and employees of all backgrounds are empowered to thrivebecause diversity is core to who we are and critical to our work in health and wellbeing.

Stay Safe:Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests Report them to. View all legitimate openings at Experience:

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