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.