Manager, Encounter Submissions

HMSA•Honolulu, HI

9h•Hybrid

About The Position

This role is responsible for managing encounter submissions, ensuring data accuracy and compliance with government requirements. The Manager will lead a team, oversee program operations, drive continuous improvement, and serve as a subject matter expert in encounter submissions and financial analysis for Government Finance.

Requirements

Bachelor's degree and four years of related experience; or an equivalent combination of education and related work experience.
One year of supervisory or management experience.
Effective verbal and written communication skills.
Proven success with system implementation and analytical work.
Intermediate working knowledge of Microsoft Office applications, including but not limited to Outlook, Word, and Excel.
Strong knowledge of Information Systems.

Responsibilities

Communicates with LOB leads and Governance Finance Director on 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.
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.
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.
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.
Ensures complete documentation of program policies and procedures.
Performs all other miscellaneous responsibilities and duties as assigned or directed.