Back to jobs
Job Description
- Encounter Submissions Management
- Communicates with LOB leads and Governance Finance Director on the necessary information and context for strategic business decision making.
- Establishes schedule for meetings and deliverables to complete needs of all 3 lines of business encounter submissions.
- Supports audits of encounter data and minimizes risks of findings from submission activities.
- Ensures encounter submission data is meeting requirements for risk adjustments as set by relevant government entities.
- Manages implementation of new solutions as needed.
- Oversees data reconciliation and research. Resolves issues with encounter data reported through vendor partners recommending or implementing corrective actions.
- Analyzes project objectives, data sources, methodology, and data summaries and findings.
- Responsible for production, delivery, and efficacy review of reports for internal and external audiences.
- Coordinates and prioritizes activities with internal and external staff for implementation and monitors work for accuracy.
- Program and Team Management
- Coordinates work of the encounters submission workgroup, ES team, and ES vendor(s).
- Provides guidance and development to team members.
- Responsible for performance management and staffing.
- Builds business case for additional resourcing needs.
- Delegates some leadership to senior analysts and oversees outcomes and communication.
- Continuous Improvement
- Develops strategies to improve encounter submission passthrough and communication of opportunities to business owners.
- Creates culture of continuous improvement and a working environment to support encounter submissions, financial analysis, and reporting for Government Finance.
- Subject Matter Expertise
- Monitors and evaluates changes in the external/internal environment, making changes to staffing and workflows to adapt.
- Forecasts gaps in SME and requests investments in internal or external resourcing.
- Develops and implement changes to processes and procedures that optimize revenue.
- Documentation
- Ensures complete documentation of program policies and procedures.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid