Encounter Data Program Manager

Job Summary

A company is looking for an Encounter Data Submissions Program Manager.

Key Responsibilities

• Assist in the development and maintenance of program documentation and standard operating procedures
• Oversee daily Encounter Data Submission (EDS) and reconciliation processes
• Evaluate ROI of existing Alternate Submission Method (ASM) workstreams and drive workflow enhancements

Required Qualifications

• Bachelor's degree in Business, Finance, Information Technology, Analytics, Operations, or a related field
• 4+ years of experience with Medicare Advantage or ACA encounter data processes
• 1+ years of knowledge of X-12 837 data
• Strong analytical skills with the ability to interpret complex data sets
• Working knowledge of SQL and proficiency in common business software