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.
What You'll Do
Regulatory Reporting & Encounter Data
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
Analytics & Technical Execution
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
Audit & Compliance Support
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
Leadership & Team Development
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
Cross-Functional Collaboration
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
What Sets This Role Apart
Clear path to AVP-level progression with direct leadership exposure
High-impact role supporting regulatory compliance and enterprise-wide reporting
Blend of hands-on technical work and people leadership
Education & Experience
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
2+ years of leadership or team management experience preferred
Core Capabilities
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
Why Join
Opportunity to lead critical regulatory analytics in a mission-driven healthcare organization
Clear career progression into executive-level leadership
Collaborative, high-performing team with strong technical focus
Apply Today
If you're a technical leader who thrives in complex, data-driven environments and is passionate about regulatory excellence, we encourage you to apply.
Location
Our employees are based across multiple office locations throughout the United States. At this time, we are unable to hire employees or support work arrangements outside of the United States.
What Liberty Offers
At Liberty, we believe happy, healthy employees are better equipped to serve our members and make meaningful contributions to their communities. That's why we offer a competitive and comprehensive benefits package designed to support employee well-being and productivity.
We offer a first-class benefits package that includes:
Compensation
In the spirit of pay transparency, the base salary range for this position is $115,595 - $144,494/annual, excluding benefits and potential bonuses. Final compensation will be determined based on factors such as geographic location, experience, skills, and education. Liberty is committed to pay equity and also considers internal equity among current employees when making compensation decisions.
Please note that offers are typically not made at the top of the salary range, allowing for future growth and advancement.
Our Commitment
Liberty Dental Plan is dedicated to fostering a workplace where all individuals feel valued, respected, and empowered. We are committed to building an inclusive environment that embraces diverse backgrounds, experiences, and perspectives, while creating a strong sense of belonging across our organization.
We also remain focused on strengthening external partnerships to ensure equitable access to healthcare and improve population health in the communities we serve.
Liberty complies with all applicable laws and regulations related to non-discrimination in employment, recruitment, promotions, transfers, and work authorization requirements.
Sponsorship and Relocation
Liberty Dental Plan is an Equal Opportunity Employer (including VETS and individuals with disabilities).
At this time, we do not offer relocation assistance or employment sponsorship.