Manager, Encounter Submissions

1. Encounter Submissions Management
   • Communicates with LOB leads and Governance Finance Director on the necessary information and context for strategic business decision making.
   • Establishes schedule for meetings and deliverables to complete needs of all 3 lines of business encounter submissions.
   • Supports audits of encounter data and minimizes risks of findings from submission activities.
   • Ensures encounter submission data is meeting requirements for risk adjustments as set by relevant government entities.
   • Manages implementation of new solutions as needed.
   • Oversees data reconciliation and research. Resolves issues with encounter data reported through vendor partners recommending or implementing corrective actions.
   • Analyzes project objectives, data sources, methodology, and data summaries and findings.
   • Responsible for production, delivery, and efficacy review of reports for internal and external audiences.
   • Coordinates and prioritizes activities with internal and external staff for implementation and monitors work for accuracy.
   
   
   
2. Program and Team Management
   • Coordinates work of the encounters submission workgroup, ES team, and ES vendor(s).
   • Provides guidance and development to team members.
   • Responsible for performance management and staffing.
   • Builds business case for additional resourcing needs.
   • Delegates some leadership to senior analysts and oversees outcomes and communication.
   
   
   
3. Continuous Improvement
   • Develops strategies to improve encounter submission passthrough and communication of opportunities to business owners.
   • Creates culture of continuous improvement and a working environment to support encounter submissions, financial analysis, and reporting for Government Finance.
   
   
   
4. Subject Matter Expertise
   • Monitors and evaluates changes in the external/internal environment, making changes to staffing and workflows to adapt.
   • Forecasts gaps in SME and requests investments in internal or external resourcing.
   • Develops and implement changes to processes and procedures that optimize revenue.
   
   
   
5. Documentation
   • Ensures complete documentation of program policies and procedures.
   
   
   
   
   
6. Performs all other miscellaneous responsibilities and duties as assigned or directed.

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