Encounter Data & Regulatory Analytics Manager

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., * 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, * 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

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., * 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

Liberty Dental Plan Careers Oklahoma Remote $115,595 - $144,494 a year, Pulled from the full job description

• Tuition reimbursement

• Health insurance

• Paid time off

• Vision insurance

• Health savings account

• Dental insurance

• Life insurance, At Liberty, we believe happy, healthy employees are better equipped to serve our members and make meaningful contributions to their communities. That's why we offer a competitive and comprehensive benefits package designed to support employee well-being and productivity. We offer a first-class benefits package that includes:

• Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility.

• 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents.

• 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice.

• Short-term disability and a variety of voluntary benefits, including accident, critical illness, and hospital indemnity insurance.

• Generous paid time off, including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day.

• Additional benefits including company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions., In the spirit of pay transparency, the base salary range for this position is $115,595 - $144,494/annual, excluding benefits and potential bonuses. Final compensation will be determined based on factors such as geographic location, experience, skills, and education. Liberty is committed to pay equity and also considers internal equity among current employees when making compensation decisions. Please note that offers are typically not made at the top of the salary range, allowing for future growth and advancement. Our Commitment Liberty Dental Plan is dedicated to fostering a workplace where all individuals feel valued, respected, and empowered. We are committed to building an inclusive environment that embraces diverse backgrounds, experiences, and perspectives, while creating a strong sense of belonging across our organization. We also remain focused on strengthening external partnerships to ensure equitable access to healthcare and improve population health in the communities we serve. Liberty complies with all applicable laws and regulations related to non-discrimination in employment, recruitment, promotions, transfers, and work authorization requirements. Sponsorship and Relocation Liberty Dental Plan is an Equal Opportunity Employer (including VETS and individuals with disabilities). At this time, we do not offer relocation assistance or employment sponsorship.