About this role
Role Overview
- Drive encounter data quality, compliance, and operational performance.
- Lead a team of 2–5 associates overseeing Medicare and Medicaid encounter data operations.
- Identify and implement process improvements to increase efficiency, quality, and compliance.
- Serve as a subject matter expert for Medicare and Medicaid encounter error correction processes.
- Present performance results, key accomplishments, and areas of concern to business stakeholders.
Requirements
- 3+ years of experience in Medicare and Medicaid claims, encounters, auditing, or payment integrity operations.
- 2+ years of experience coordinating the work of associates or project teams.
- 2+ years of experience analyzing large datasets and using data to identify trends, resolve issues, and support decisions.
- 3+ years of experience working in a health insurance, managed care, healthcare, or related regulatory environment.
- Demonstrated experience delivering accurate results in a high-volume setting.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities