Senior Reporting & Encounters Program Manager
SafeRide Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Own and coordinate end-to-end Medicaid reporting and encounter processes to ensure accuracy, timeliness, and compliance with state and federal requirements
- Be accountable for on-time, accurate submission of all encounter and reporting deliverables across assigned markets
- Serve as the primary cross-functional lead to identify, triage, and resolve reporting and data issues across Operations, Product, BI, Finance/Claims, Compliance, and Account Management
- Play a polished, enterprise-level client-facing role supporting deliverables, including leading client calls, distilling deliverables, and communicating updates to relevant stakeholders
- Interpret CMS and state-specific guidance, including companion guides and contractual requirements, and translate them into operational processes
- Partner closely with Legal and Compliance teams to ensure alignment with regulatory expectations and audit readiness
- Lead root cause analysis efforts for reporting discrepancies, delays, or data integrity issues, and drive resolution across teams
- Establish and improve processes to support scalable reporting operations, including standardization, documentation, and change management practices
- Support new market implementations by standing up reporting and encounter processes for new states and clients
- Improve reporting timelines, data quality, and delivery consistency through proactive planning and cross-team coordination
- Manage dependencies, track deliverables, and ensure accountability across multiple stakeholders and workstreams
- Develop and maintain documentation, workflows, and reporting requirements to support internal alignment and external audits
Requirements
- Bachelor’s degree or equivalent experience in healthcare, managed care, operations, or a related field
- 5+ years of experience in Medicaid reporting, encounters, claims operations, or related healthcare functions
- Strong understanding of the end-to-end claims and encounter lifecycle, including submission, processing, and reporting
- Experience interpreting regulatory guidance, including CMS requirements, state Medicaid rules, and companion guides
- Proven experience in project or program management, with the ability to manage multiple priorities and meet tight deadlines
- Demonstrated ability to work cross-functionally and drive alignment across technical, operational, and compliance teams
- Strong analytical, problem-solving, and communication skills
- Highly organized, detail-oriented, and comfortable with ambiguity
- Thrives in a fast-paced, startup-oriented environment and demonstrates a preference for agility, innovation, and problem-solving over traditional, highly bureaucratic healthcare administrative structures
Benefits
- Career growth and development opportunities in a mission-driven organization;
- Competitive salary, annual bonus opportunities, and equity options;
- Remote with flexible hours;
- Comprehensive medical, dental, and vision insurance;
- 401(k) with company match;
- Generous PTO, paid company holidays, and paid parental leave.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicaid reportingencounter processesclaims operationsregulatory guidance interpretationproject managementdata analysisroot cause analysisprocess improvementdocumentationworkflow management
Soft Skills
cross-functional collaborationcommunicationproblem-solvingorganizational skillsattention to detailagilityinnovationtime managementstakeholder managementadaptability
Certifications
Bachelor’s degree in healthcareBachelor’s degree in managed careBachelor’s degree in operations