Manager Encounter Submissions

• 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