Job Description
If you are interested for this Full-time (Direct Hire) position, please send your resume.
Job Title: Manager – Government Submissions & Healthcare Data Analytics
Location:Fully Remote
- Job Type: Full-time (Direct Hire)Required Skills & Experience
- 5+ years of relevant professional experience, including 3+ years in a leadership/management role
- Strong expertise in Medicare Advantage and/or ACA marketplace, with solid understanding of CMS regulations and programs
- Advanced knowledge of SQL Server, SSIS, SSRS, and strong data handling capabilities
- Proficiency in MS Access, Excel, PowerPoint, and Word
- Experience with data visualization tools (e.g., Power BI, Tableau)
- Strong analytical, problem-solving, and critical thinking skills
- Ability to analyze complex datasets and provide actionable insights
- Excellent communication and stakeholder management skills, with the ability to explain technical concepts to non-technical audiences
- Proven team leadership, mentoring, and delegation skills Preferred Skills & Experience
- Bachelor’s degree in Finance, Mathematics, Computer Science, Health Science, Data Science, or related field
- Experience leading Risk Adjustment and Government Submissions teams within healthcare organizations
- Exposure to HEDIS data collection and submission processes
- Knowledge of statistical tools such as R or SAS
- Experience working with health plans, providers, consulting firms, or regulatory bodies (CMS, Department of Health, etc.)
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