Note: The job is a remote job and is open to candidates in USA. Liberty Dental Plan is hiring an Encounter Data & Regulatory Analytics Manager with strong SQL programming skills to oversee encounter data submissions and regulatory reporting. This role is a hands-on technical leader responsible for ensuring compliance, accuracy, and delivery of high-impact analytics across Medicaid 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 all regulatory deliverables
- Perform hands-on SQL analysis, data validation, and complex reporting development
- Translate regulatory and client requirements into actionable analytic solutions
- Maintain and enhance reporting processes to ensure audit readiness and consistency
- Lead analytic support for regulatory audits, data validations, and examinations
- Investigate data issues and provide clear, actionable resolutions
- Ensure reporting processes meet audit and compliance standards
- Lead, mentor, and develop a team of analysts responsible for reporting deliverables
- Provide 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 complex client reporting
- Act as a key escalation point and functional backup to the AVP
Skills
- Bachelor's degree in Information Technology, Information Science, or a related field
- 6+ years of experience in healthcare analytics, encounter data, or regulatory reporting
- Medicaid and/or Medicare experience
- Advanced SQL skills with the ability to analyze and validate complex datasets
- Deep knowledge of Medicaid and Medicare encounter data and reporting requirements
- Strong understanding of healthcare data structures and system workflows
- Proven experience supporting audits, data validation, and issue resolution
- Ability to lead 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 healthcare EDI transactions, specifically 837 Dental (837D) and/or 837 Professional (837P) claims
- 2+ years of leadership or team management experience
Benefits
- Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility.
- 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents.
- 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice.
- Short-term disability and a variety of voluntary benefits, including accident, critical illness, and hospital indemnity insurance.
- Generous paid time off, including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day.
- Additional benefits including company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions.
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