Senior Program Manager, Public Plans Encounter Data

Mass General Brigham Health Plan Holding Company, Inc.

Remote, United States
Base: $99,465.60 - $141,804.00/annual; bonus/equit...
Fully remote
8-10 years program management experience
Encounter data submission and 837 edi workflows
Cms and state regulatory compliance knowledge
Mass General Brigham Health Plan is seeking a Senior Program Manager with extensive experience in program management, particularly in encounter data operations and vendor management. The role is fully remote and focuses on overseeing complex programs while aligning with organizational goals, requiring strong communication and analytical skills

Job Summary

  • The role involves managing end-to-end encounter data submission and risk adjustment operations for Medicare Advantage and MassHealth Medicaid programs.
  • Candidates will lead initiatives aligning with organizational goals while collaborating with IT, actuarial, and external government agencies like CMS.
  • Mass General Brigham offers a competitive base pay range of $99,465.60 to $141,804.00 annually along with comprehensive benefits and career advancement opportunities.

Matching Summary

Match Score: 85

Mass General Brigham Health Plan is seeking a Senior Program Manager with extensive experience in program management, particularly in encounter data operations and vendor management. The role is fully remote and focuses on overseeing complex programs while aligning with organizational goals, requiring strong communication and analytical skills.

Salary

Base: $99,465.60 - $141,804.00/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits, career advancement, differentials, premiums, and bonuses included

Skills & Requirements

Must-have

  • 8-10 years program management experience
  • Encounter data submission and 837 EDI workflows
  • CMS and state regulatory compliance knowledge
  • Vendor management with Veradigm partners
  • Budget planning and financial analysis skills

Nice-to-have

  • Master's degree in related field
  • Experience with EDS and RAPS systems
  • Strong cross-functional team leadership
  • Ability to translate complex data requirements
  • Remote work flexibility across US states

Key Requirements

  • Bachelor's degree required; Master's preferred
  • Minimum 8-10 years of program management experience
  • At least 1-2 years of team leadership experience

Work Rights

Not specified

Tailored Resume

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