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Project Manager, Data Operations

Bosnia and Herzegovina, Tuzla · Job Posted May 03, 2026
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Job Description

As Project Manager, Data Operations, you're the connective tissue between external partners, account teams, and the internal teams doing the technical work. You keep EDI implementations on track from requirements through go-live and beyond. This role sits at the intersection of technical depth and client-facing execution — and getting it right directly protects the data integrity that our health plan partners and their members depend on.

Job Responsibility

  • Manage implementations end-to-end: Own project delivery for inbound and outbound data feeds — 834, 837, COB, accumulator files, and proprietary eligibility and claims EDI processes
  • Configure and validate EDI connections
  • Define and document requirements
  • Navigate benefits changes
  • Keep stakeholders informed
  • Identify and clear blockers
  • Improve how data operations runs

Requirements

  • B.S. or M.S. in Healthcare Administration, Project Management, or a relevant equivalent
  • 5–9 years of experience in a Business Analyst, Project Manager, Implementation Manager, Engineer, EDI Specialist, or related medical insurance role
  • Experience with ANSI 5010 transactions including 837, 835, 834, and 270/271
  • Background in the healthcare or TPA industry preferred
  • Proficiency in JIRA and Confluence
  • Intermediate to advanced proficiency in Microsoft Office Suite, particularly Excel
  • Working knowledge of data analysis tools such as SQL, Tableau, Power BI, or comparable platforms
  • Demonstrated experience developing and maintaining EDI documentation and file specifications
  • Familiarity with File Transfer protocols and EDI processes including eligibility, claims, and accumulators

Nice to have

Background in the healthcare or TPA industry preferred

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