Learn and analyze how systems and processes function across different information technology domains
Support structured assessments and audits, including Information Systems Capabilities Assessments (ISCA) and Encounter Data Validation (EDV), document findings with clarity and precision
Analyze, validate, and troubleshoot encounter data across multiple systems to ensure accuracy, completeness, and regulatory compliance
Contribute to client deliverables, presentations, and project documentation, taking on increasing ownership over time
Manage the quality and timeliness of client deliverables, communicating regularly and effectively with project teams
Collaborate with cross-functional teams to understand how regulatory requirements translate into system and data processes
Engage and collaborate with stakeholders, including Medicaid leadership, providers, and beneficiaries, to gather feedback and inform program recommendations
Become a trusted contributor on project teams by delivering accurate, timely, and insightful analysis
Continuously build expertise in healthcare systems, data structures, and regulatory requirements
Ask intellectually curious questions to drive data-driven projects and structured assessments
Document observations, findings, and recommendations for improvement as needed

Bachelor’s degree in Information Systems, Computer Science, Healthcare Administration, Data Analytics, or related field
1-3+ years of experience with healthcare systems, data and system analysis, or consulting
Knowledge of Medicaid and/or Medicare policies, regulations, and program operations, including encounter data submission processes and regulatory requirements
Familiarity with managed care organizations (MCOs), state healthcare systems, or other government healthcare programs
Experience working with healthcare data systems such as encounter data, claims systems, or EHR platforms
Proficiency in data quality assessment, validation techniques, and reconciliation processes
Strong problem-solving and critical thinking abilities
Ability to translate technical findings into clear, client-friendly insights
Experience in a consulting, client-facing, or project-based environment
Strong organizational skills with the ability to manage multiple priorities effectively

Government Consultant – Systems and Encounters Specialist

Key skills