Encounter Data & Regulatory Analytics Manager

**We’re hiring an Encounter Data & Regulatory Analytics Manager with strong SQL programming skills with the ability to query, analyze, and validate complex data sets.Experience working with healthcare EDI transactions, specifically 837 Dental (837D) and/or 837 Professional (837P) claims, is highly preferred.** The **Manager, Encounter Data & Regulatory Analytics** is a hands-on technical leader responsible for overseeing encounter data submissions, regulatory reporting, and audit support across Medicaid and Medicare lines of business. This role combines leadership with deep technical execution, serving as a key partner to the AVP while ensuring compliance, accuracy, and delivery of high-impact analytics. ## **What You’ll Do** ### **Regulatory Reporting & Encounter Data** - 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 ### **Analytics & Technical Execution** - 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 ### **Audit & Compliance Support** - 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 ### **Leadership & Team Development** - 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 ### **Cross-Functional Collaboration** - 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 ## **What Sets This Role Apart** - Clear path to AVP-level progression with direct leadership exposure - High-impact role supporting regulatory compliance and enterprise-wide reporting - Blend of hands-on technical work and people leadership ### **Education & Experience** - Bachelor’s degree in Information Technology, Information Science, or a related field required - 6+ years of experience in healthcare analytics, encounter data, or regulatory reporting - Medicaid and/or Medicare experience required - 2+ years of leadership or team management experience preferred ## **Core Capabilities** - 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 **Why Join** - Opportunity to lead critical regulatory analytics in a mission-driven healthcare organization - Clear career progression into executive-level leadership - Collaborative, high-performing team with strong technical focus ## **Apply Today** If you’re a technical leader who thrives in complex, data-driven environments and is passionate about regulatory excellence, we encourage you to apply. **Location** Our employees are based across multiple office locations throughout the United States. At this time, we are unable to hire employees or support work arrangements outside of the United States. **What Liberty Offers** At Liberty, we believe happy, healthy employees are better equipped to serve our members and make meaningful…