Job Ref: 102396
Category: Professional
Department: ANALYTICS AND REPORTING
Location: 50 Water Street, 7th Floor,
New York,
NY 10004
Job Type: Regular
Employment Type: Full-Time
Hire In Rate: $140,000.00
Salary Range: $140,000.00 - $150,000.00
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The position of Director of Encounter Data Reporting in the Analytics and Reporting Department is responsible in managing encounter data submission processes to NYSDOH, CMS, and other regulatory entities as required. The responsibilities include leading the encounter data reporting team in design and development of the data processes, engaging stakeholders, and vendors to ensure encounter submission meeting regulatory requirement, provide support to other business areas and compliance department in all encounter data related inquires and audits, and provide KPI to executives on encounter data reporting.
The successful candidate must have strong project management skills, communication skills, analytical skills, SQL Server programming skills and healthcare experience with knowledge in membership, provider, and claims data.
Professional Competencies
#LI-Hybrid