Scalepex

Lead healthcare data and EDI implementations, coordinate data feeds, and manage stakeholder relationships in a fully remote environment. | Requires 5-9 years in healthcare data, EDI, project management, with hands-on experience in ANSI 5010 transactions and familiarity with healthcare data types. | 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 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

Lead and support organizational change initiatives by assessing impacts, developing strategies, and ensuring effective communication and adoption. | Over 5 years of experience in change management supporting large transformation programs, with strong stakeholder management and communication skills, preferably in regulated industries. | Change Management Lead / Manager Role Overview This role partners closely with program leadership, workstream owners, implementation teams, account management, and operations to support successful adoption and long-term sustainability of large-scale transformation initiatives. The Change Manager plays a critical role in assessing impacts, guiding readiness, and ensuring teams are informed, prepared, and aligned throughout program execution. Key Responsibilities • Partner with program leadership, workstream owners, implementation teams, account management, and operations to drive adoption and long-term success of transformation initiatives. • Assess the impact of multiple workstreams across systems, processes, roles, and customer/member experience, and translate findings into actionable recommendations. • Develop, maintain, and execute a comprehensive change management strategy aligned to program phases, milestones, and evolving priorities. • Lead change impact and readiness assessments, identifying risks, gaps, and dependencies early. • Embed change management into PMO, product, engineering, operations, and implementation planning to ensure readiness is considered alongside delivery. • Establish regular touchpoints with workstream owners, senior sponsors, and cross-functional leaders to surface concerns, roadblocks, and readiness gaps. • Create and manage a master communication plan that delivers timely, consistent, and targeted messaging to internal teams. • Develop clear, audience-specific communications outlining changes, timelines, training expectations, and system impacts. • Partner with leadership to deliver transparent, consistent communication that reduces confusion, increases alignment, and supports teams through ongoing change. • Coordinate with operational leaders on SOP updates, training plans, and team readiness activities. • Identify, highlight, and share success stories to reinforce momentum and drive engagement throughout the program. • Provide regular reporting on change readiness, communication effectiveness, stakeholder sentiment, and upcoming change milestones. • 5+ years of experience in organizational change management supporting large, complex transformation programs. • Proven experience working across multiple workstreams in fast-paced environments with shifting priorities. • Strong stakeholder management and relationship-building skills, with the ability to influence at all levels of the organization. • Exceptional written and verbal communication skills. • Ability to translate technical, operational, or system changes into clear, accessible guidance for diverse audiences. • Experience in healthcare, health technology, or other highly regulated industries preferred.