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Encounters System Analyst

7/11/2025

No location specified

Job Summary

A company is looking for an Encounters System Analyst.

Key Responsibilities
  • Manage State and Federal Encounters SLAs and KPIs
  • Resolve internal and State/CMS rejections through hands-on remediation
  • Collaborate with vendors and internal teams to ensure data quality and compliance
Required Qualifications
  • Comprehensive knowledge of healthcare EDI transactions, including 837 and response transactions
  • Experience with healthcare program implementations, preferably in Medicaid
  • Proficient in data validation and encounter rejection resolution
  • SQL proficiency for generating reports and validating data
  • Familiarity with Medicaid programs and EDI standards

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