Qualifications
Key Responsibilities:Manage end-to-end data quality workflows to ensure dependable, high-integrity data flows from source systems into Rezilient Health’s warehouse across clinical, eligibility, and claims datasets. Conduct hands-on spreadsheet and file-based tasks to clean, standardize, reconcile, and validate data sourced from payers, employers, TPAs, and EHR systems. Oversee eligibility matching and ongoing roster maintenance (including additions, terminations, and changes), track variances, and resolve discrepancies across employer and partner populations. Validate eligibility and claims data against source systems, proactively identify anomalies, document root causes, and drive resolution through clear audit trails. Maintain accurate mappings for employers, plans, and members, ensuring consistent naming conventions and relationship logic across systems. Develop scalable checks, templates, SOPs, and controls to ensure recurring tasks remain consistent, auditable, and easy to operate over time. Intake and clarify data requests from Operations, Clinical, and Finance teams; translate ambiguous needs into structured deliverables and timelines. Effectively communicate progress, risks, and findings to non-technical stakeholders while establishing yourself as a trusted data resource across teams. Collaborate with engineering and operations to support integrations between source systems and the data warehouse, enhancing reliability, monitoring, and lifecycle support. Identify opportunities for improving data consistency, operational rigor, and process automation.
About the job
Rezilient is working to make primary care more accessible and convenient. The CloudClinic model blends virtual provider visits with technology, aiming to create a digital healthcare experience that keeps patients at the center. By improving care delivery and expanding specialty services, Rezilient supports its care team in focusing on patient well-being and providing thorough, accessible care.
Role Overview
The Technical Project Manager will help ensure accurate, reliable data flows from source systems into Rezilient Health’s data warehouse. This role is hands-on, with a focus on validating, reconciling, and checking the quality of clinical and claims data. The work requires attention to detail and a strong drive to execute.
What You Will Do
- Analyze data in spreadsheets and files, including detailed employer mapping, eligibility matching, and claims validation throughout the employer lifecycle
- Perform hands-on validation and reconciliation of data sets to maintain accuracy and consistency
- Act as a cross-functional data partner to Operations, Clinical, and Finance teams
- Translate team needs into clear requirements and collaborate with engineers to turn manual workflows into scalable, repeatable processes
- Support efforts to improve data consistency and operational integrity over time
Location
This is a remote position open to candidates based in the United States.
About Rezilient
At Rezilient, we aim to redefine the landscape of primary care through innovative solutions that make healthcare more accessible and patient-centered. Our advanced CloudClinic model merges the convenience of virtual visits with state-of-the-art technology, ensuring a seamless and individualized healthcare experience. By continuously expanding our specialty services and optimizing care delivery, we empower our healthcare teams to focus on what truly matters: the well-being of our patients.