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Manager (Encounter Reporting and Analytics_-Healthcare
Ref No.: 17-00891
Location: New York, New York
Title: Manager (Encounter Reporting and Analytics) - Healthcare
Location: NYC (Midtown)
Duration: Full-time Direct Hire

JOB DESCRIPTION:

Responsibilities and Qualifications:
  • Leads the development and implementation of client's Encounter Data Management function, including managing all internal and external data sources, technical infrastructure, automation processes, and their ongoing monitoring.
  • Collaborates with management to ensure all encounter data submissions meet Federal and State requirements. Also responsible for the compliance, oversight and monitoring of timely and accurate submission of encounter data to NYSDOH and CMS.
  • Monitors, analyzes and communicates encounter data metrics against benchmarks where applicable.
  • Evaluates changes in encounter data requirements and modifies processes as necessary. Works under moderate supervision.

EDUCATION: Bachelors Degree in Computer Science, Public Health, Healthcare Informatics, Health Administration or other required. Masters degree in same preferred. Certification in SAS Base 9 Programming preferred.

REQUIRED EXPERIENCE:
  • Minimum five years of increasingly responsible encounter data analysis experience in a healthcare setting working with EDI, 8371, and 837 series transactions required, including a minimum of three years experience working with NYSDOH and CMS.
  • Advanced proficiency in personal computer programs, including Edifecs, SAS/SQL, (statistical analysis and outputs) MS Excel (including formulas, sorts, filters, pivot tables, IF statements, VLOOKUP, HLOOKUP, etc.), Access (criteria statements, table links, and database and report creation), and Word, required.
  • Strong leadership and analytical skills as well as effective oral, written and interpersonal communication skills are required.
  • Demonstrated ability to form and lead effective cross-functional teams to achieve aggressive program goals is preferred.