Clinical Data Management Manager

Leading the Encounter Data Submission and Reconciliation strategy, the full-time Manager, Clinical Data Management will oversee the lifecycle of data submission to payers and CMS, ensuring accuracy and compliance while collaborating with internal teams and external partners in a remote setting. Key Responsibilities Oversee the end-to-end strategy and operations for encounter data submission and reconciliation Monitor submission metrics and compliance with regulatory standards, developing process documentation and SOPs Identify and implement process improvements to enhance encounter acceptance rates and optimize workflows Required Qualifications Bachelor's degree in Business, Finance, IT, Healthcare Analytics, or Operations 6+ years of experience with Medicare Advantage or ACA encounter data processes 3+ years of program or project management experience with multi-stakeholder initiatives 2+ years of experience with X12 837 transaction sets and CMS EDPS reports Strong analytical skills with the ability to interpret complex datasets and provide actionable insights