Senior Program Manager, Public Plans Encounter Data

Brigham and Women's Faulkner Hospital

Remote, US
Base: $99,465.60 - $141,804.00 annually; bonus/equ...
Fully remote
8-10 years program management experience
Encounter data submission and 837 edi workflows
Cms and state regulatory compliance knowledge
The role is responsible for managing all aspects of a large-scale program focused on encounter data operations and vendor program management within Mass General Brigham Health Plan

Job Summary

  • The role is responsible for managing all aspects of a large-scale program focused on encounter data operations and vendor program management within Mass General Brigham Health Plan.
  • Candidates must lead initiatives supporting alignment with organizational goals while overseeing collaboration with stakeholders including CMS, state regulators, and external vendors.
  • This remote position offers a competitive annual salary range of $99,465.60 to $141,804.00 along with comprehensive benefits and career advancement opportunities.

Matching Summary

The role is responsible for managing all aspects of a large-scale program focused on encounter data operations and vendor program management within Mass General Brigham Health Plan.

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 and 837 EDI workflows
  • CMS and state regulatory compliance knowledge
  • Risk adjustment operations across Medicare Advantage
  • Budget development and financial management

Nice-to-have

  • Master's degree in relevant field
  • Experience with Veradigm vendor systems
  • Strong cross-functional team leadership skills
  • Ability to translate complex data for non-technical audiences

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