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.

• 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.

• 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.

• 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 implements changes to processes and procedures that optimize revenue.

• Ensures complete documentation of program policies and procedures.

Performs all other miscellaneous responsibilities and duties as assigned or directed.