Senior Program Manager, Public Plans Encounter Data

Mass General Brigham Health Plan Holding Company, Inc.

Boston, MA, United States
Base: $99,465.60 - $141,804.00 annually; bonus/equ...
Fully remote
8-10 years program management experience
Encounter data submission expertise
Cms and state regulatory compliance
The role involves managing end-to-end encounter data submission and risk adjustment operations across Medicare Advantage and MassHealth Medicaid

Job Summary

  • The role involves managing end-to-end encounter data submission and risk adjustment operations across Medicare Advantage and MassHealth Medicaid.
  • Candidates must lead teams to ensure CMS acceptance targets are met while navigating strict regulatory submission deadlines.
  • This remote position offers a competitive annual salary range of $99,465.60 to $141,804.00 along with comprehensive benefits.

Matching Summary

The role involves managing end-to-end encounter data submission and risk adjustment operations across Medicare Advantage and MassHealth Medicaid.

Salary

Base: $99,465.60 - $141,804.00 annually; 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 expertise
  • CMS and state regulatory compliance
  • Vendor program management skills
  • Budget planning and analysis

Nice-to-have

  • Master's degree in relevant field
  • Experience with MassHealth Medicaid
  • Strong cross-functional leadership
  • Ability to translate complex data
  • Remote work adaptability

Key Requirements

  • Bachelor's degree required; Master's preferred
  • 8-10 years of program management experience
  • 1-2 years of team leadership experience
  • Knowledge of EDS, RAPS, and EDI environments

Work Rights

Not specified

Tailored Resume

Cover Letter