Senior Reporting & Encounters Program Manager

SafeRide Health

11d•Remote

About The Position

SafeRide Health is seeking a Sr. Reporting & Encounters Program Manager to lead and coordinate the end-to-end reporting and encounter processes across multiple Medicaid markets. This role serves as a central liaison across Operations, Product, Business Intelligence, Finance/Claims, Compliance, Legal, and Account Management teams to ensure accurate, timely, and compliant reporting deliverables. You will play a critical role in driving operational excellence by managing a significant portfolio of monthly deliverables and implementations, identifying process gaps, resolving cross-functional issues, and implementing scalable solutions that support increasing reporting demands. This position requires a strong understanding of Medicaid claims and encounter lifecycles, as well as the ability to professionally represent SafeRide externally with clients, interpret regulatory guidance, and translate requirements into actionable processes. This is an opportunity to directly impact compliance, client satisfaction, and the scalability of SafeRide’s reporting infrastructure as we expand into new markets.

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

Nice To Haves

Familiarity with Medicaid submission processes, the HIPAA X12 837P encounter format and Encounter Data Management (EDM) platforms (e.g., Edifecs, TriZetto)
Experience working across multiple states or complex Medicaid environments
Background in NEMT or similar healthcare service delivery models
Proficiency in Excel and familiarity with data/reporting tools (e.g., SQL, Tableau, Looker, or similar)
Experience supporting audits, regulatory reviews, or client reporting requirements

Responsibilities

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