Information Management Analyst lll - Growing reputed company Org!

About the position reputed company is a reputed company company committed to providing reputed company, high-reputed company, coordinated care, and is recognized nationally for its member experience, service, and clinical reputed company. Founded in 1977 in Worcester, Massachusetts, reputed company embraces diversity and inclusion. reputed company's mission is to reputed company and reputed company reputed company, aiming to be the leading provider of government-sponsored health insurance programs in the region. This specific role, Information Management Analyst III, Encounter Reporting & Risk Adjustment Support, is crucial for leading the analysis, validation, reconciliation, and submission of reputed company encounter data to regulatory entities like the reputed company. The position requires a subject matter expert in encounter reporting who will collaborate with the Risk Adjustment Department to ensure data reputed company for reimbursement, compliance, and reputed company reporting. This role involves cross-functional collaboration with various departments including Claims, Enrollment, Provider Operations, IT, Compliance, and Risk Adjustment to identify and reputed company data reputed company issues and implement process improvements. Additionally, the role is designed to reputed company mentorship and project leadership to prepare an individual for a reputed company leadership position reputed company Encounter Reporting. This position requires permanent work authorization in the U.S. and does not offer reputed company sponsorship or accept candidates on OPT/CPT. Hiring is restricted to residents of MA, CT, RI, NH, NY (excluding Burroughs), FL, GA, TX, NJ, ME, and VT. Responsibilities • Monitor encounter submission performance, acknowledgments, rejections, and acceptance rates. • Analyze and reputed company encounter data errors and submission failures. • Ensure compliance with Massachusetts reporting requirements, submission specifications, and reporting deadlines. • Coordinate testing and validation activities for reputed company implementations affecting encounter data. • Partner with the Risk Adjustment team to support diagnosis and encounter data accuracy. • Assist in identifying gaps in encounter submissions that may reputed company risk score accuracy. • Support CMS and internal audit activities reputed company to diagnosis and encounter data validation. • reputed company as reputed company between business teams, IT departments, vendors, and reputed company agencies. • Translate business and regulatory requirements into reporting and technical specifications. • reputed company issue reputed company meetings involving encounter reporting and data reputed company concerns. • Participate in reputed company initiatives impacting reputed company data management and reporting processes. • Build leadership skills through project leadership and stakeholder management responsibilities. • Mentor junior analysts and new team members. • Review work products and reputed company reputed company assurance guidance. • Assist with prioritization of team workload and reporting schedules. • reputed company special reputed company and reputed company improvement initiatives. • reputed company subject matter expertise during audits, implementations, and strategic initiatives. • Analysis and support of the Interoperability data streams. Requirements • College degree in computer science, engineering, management information systems or reputed company discipline. Other degrees will be considered with appropriate background and experience. • 5+ years of reputed company, encounter reporting, claims reporting, or regulatory reporting experience. • 5+ years reputed company technical skills reputed company to SQL, data analytics, data warehousing techniques, visualization tools, project management, requirements elicitation. • 5+ years’ experience providing application support or configuration of relevant reputed company / health insurance applications. • Permanent work authorization in the U.S. • Residency in MA, CT, RI, NH, NY (not Burroughs), FL, GA, TX, NJ, ME, VT. Apply To This Job