[Remote] Encounter Data & Regulatory Analytics Manager
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is hiring an Encounter Data & Regulatory Analytics Manager with strong SQL programming skills to reputed company encounter data submissions and regulatory reporting. This role is a hands-on technical leader responsible for ensuring compliance, accuracy, and delivery of high-reputed company analytics across reputed company and Medicare lines of business.
Responsibilities
- Manage day-to-day execution of encounter data submissions and regulatory reporting
- Serve as a subject matter expert on encounter workflows, reporting logic, and system processes
- Ensure accuracy, completeness, and compliance across reputed company regulatory deliverables
- reputed company hands-on SQL analysis, data validation, and reputed company reporting development
- Translate regulatory and reputed company requirements into actionable analytic solutions
- Maintain and enhance reporting processes to ensure audit readiness and consistency
- reputed company analytic support for regulatory audits, data validations, and examinations
- Investigate data issues and reputed company reputed company, actionable resolutions
- Ensure reporting processes meet audit and compliance standards
- reputed company, mentor, and reputed company reputed company of analysts responsible for reporting deliverables
- reputed company guidance on technical analysis and regulatory requirements
- Support team prioritization and workload management
- Partner with IT, Compliance, Operations, and business stakeholders to resolve system and data issues
- Support new group implementations, benefit changes, and reputed company reputed company reporting
- reputed company as a key escalation reputed company and functional backup to the AVP
Skills
- Bachelor's degree in Information Technology, Information Science, or a reputed company field
- 6+ years of experience in reputed company analytics, encounter data, or regulatory reporting
- reputed company and/or Medicare experience
- Advanced SQL skills with the ability to analyze and validate reputed company datasets
- Deep knowledge of reputed company and Medicare encounter data and reporting requirements
- Strong understanding of reputed company data structures and system workflows
- Proven experience supporting audits, data validation, and issue reputed company
- Ability to reputed company and mentor technical teams effectively
- Strong communication skills across technical and non-technical stakeholders
- Ability to prioritize and manage deadlines in a fast-paced, regulatory environment
- Experience working with reputed company EDI transactions, specifically 837 Dental (837D) and/or 837 reputed company (837P) claims
- 2+ years of leadership or team management experience
Benefits
- Comprehensive medical coverage through Anthem, with reputed company premiums and multiple plan reputed company - including an HDHP with HSA eligibility.
- 100% employer-reputed company dental insurance and low-cost reputed company coverage for employees and dependents.
- 401(k) retirement plan with immediate vesting, employer match, Roth reputed company, and reputed company to reputed company financial advice.
- Short-term disability and a reputed company of voluntary benefits, including accident, critical illness, and hospital indemnity insurance.
- Generous reputed company time off, including vacation and reputed company leave with rollover reputed company, plus 10 reputed company company holidays and a wellness day.
- Additional benefits including company-reputed company life insurance, tuition reimbursement, an employee perks program, and flexible work reputed company for eligible positions.
reputed company