Encounter Data & Regulatory Analytics Manager

Liberty Dental Plan Careers • , OK

3d • $115,595 - $144,494 • Remote

About The Position

We’re hiring an Encounter Data & Regulatory Analytics Manager with strong SQL programming skills with the ability to query, analyze, and validate complex data sets. Experience working with healthcare EDI transactions, specifically 837 Dental (837D) and/or 837 Professional (837P) claims, is highly preferred. The Manager, Encounter Data & Regulatory Analytics is a hands-on technical leader responsible for overseeing encounter data submissions, regulatory reporting, and audit support across Medicaid and Medicare lines of business. This role combines leadership with deep technical execution, serving as a key partner to the AVP while ensuring compliance, accuracy, and delivery of high-impact analytics.

Requirements

• Bachelor’s degree in Information Technology, Information Science, or a related field required
• 6+ years of experience in healthcare analytics, encounter data, or regulatory reporting
• Medicaid and/or Medicare experience required
• Advanced SQL skills with the ability to analyze and validate complex datasets
• Deep knowledge of Medicaid and Medicare encounter data and reporting requirements
• Strong understanding of healthcare data structures and system workflows
• Proven experience supporting audits, data validation, and issue resolution
• Ability to lead and mentor technical teams effectively
• Strong communication skills across technical and non-technical stakeholders
• Ability to prioritize and manage deadlines in a fast-paced, regulatory environment

Nice To Haves

• Experience working with healthcare EDI transactions, specifically 837 Dental (837D) and/or 837 Professional (837P) claims
• 2+ years of leadership or team management experience preferred

Responsibilities

• Manage day-to-day execution of encounter data submissions and regulatory reporting
• Serve as a subject matter expert on encounter workflows, reporting logic, and system processes
• Ensure accuracy, completeness, and compliance across all regulatory deliverables
• Perform hands-on SQL analysis, data validation, and complex reporting development
• Translate regulatory and client requirements into actionable analytic solutions
• Maintain and enhance reporting processes to ensure audit readiness and consistency
• Lead analytic support for regulatory audits, data validations, and examinations
• Investigate data issues and provide clear, actionable resolutions
• Ensure reporting processes meet audit and compliance standards
• Lead, mentor, and develop a team of analysts responsible for reporting deliverables
• Provide guidance on technical analysis and regulatory requirements
• Support team prioritization and workload management
• Partner with IT, Compliance, Operations, and business stakeholders to resolve system and data issues
• Support new group implementations, benefit changes, and complex client reporting
• Act as a key escalation point and functional backup to the AVP

Benefits

• Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility.
• 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents.
• 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice.
• Short-term disability and a variety of voluntary benefits, including accident, critical illness, and hospital indemnity insurance.
• Generous paid time off, including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day.
• Company-paid life insurance
• Tuition reimbursement
• An employee perks program
• Flexible work options for eligible positions

What This Job Offers

• Job Type: Full-time
• Career Level: Manager