Encounter Data Manager
Virtual Vocations Inc
A company is looking for an Encounter Data Manager (EDM) with expertise in Facets. Key Responsibilities Lead end-to-end encounter submission processes, ensuring compliance with CMS and state Medicaid guidelines Monitor, analyze, and resolve encounter submission errors using automated workflows and root cause analysis Configure and validate Facets components across claims, benefits, pricing, and rules to ensure proper adjudication outcomes Required Qualifications 5+ years of healthcare payer experience (Medicare and Medicaid) 5+ years of hands-on experience with Facets (TriZetto) and EDM across claims and configuration modules Strong experience with 837/835 transactions and EDI processing Proven ability to analyze and resolve complex data and configuration issues Experience working in consulting or client-facing environments
Vacancy posted 3 days ago
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