Project Manager, Data Operations

Overview

Who We Are

Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing 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

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

• 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

• 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

• 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.