Senior Reporting & Encounters Program Manager at Jobgether – United States

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Reporting & Encounters Program Manager in United States.

This role offers a unique opportunity to lead and optimize end-to-end Medicaid reporting and encounter processes across multiple markets. You will operate at the intersection of operations, data, compliance, and client engagement, ensuring the delivery of accurate, timely, and regulatory-compliant reporting. With a strong focus on scalability and operational excellence, you will manage complex workflows, resolve cross-functional challenges, and drive continuous improvement initiatives. The position is highly collaborative and client-facing, requiring both strategic thinking and hands-on execution. You will play a critical role in supporting growth into new markets while strengthening reporting infrastructure. This is a fast-paced, impact-driven environment ideal for professionals who thrive on solving complex problems and delivering measurable outcomes.

• Lead and coordinate end-to-end Medicaid reporting and encounter processes, ensuring accuracy, timeliness, and compliance with state and federal regulations
• Own the delivery of reporting outputs across multiple markets, maintaining accountability for quality and deadlines
• Act as the central liaison across Operations, Product, Business Intelligence, Finance/Claims, Compliance, Legal, and Account Management teams
• Identify, triage, and resolve reporting discrepancies, data integrity issues, and operational gaps through structured problem-solving
• Interpret CMS and state-level regulatory guidance and translate requirements into actionable workflows and processes
• Drive root cause analysis initiatives and implement scalable solutions to improve reporting performance and reliability
• Support new market launches by establishing reporting frameworks and encounter processes for new states and clients
• Enhance reporting operations through standardization, documentation, and change management best practices
• Manage dependencies, timelines, and stakeholder alignment across multiple concurrent projects
• Represent reporting functions in client interactions, including leading calls and communicating deliverables effectively

• Bachelor’s degree or equivalent experience in healthcare, operations, managed care, or a related field
• At least 5 years of experience in Medicaid reporting, encounters, claims operations, or similar healthcare functions
• Strong knowledge of the end-to-end claims and encounter lifecycle, including submission, processing, and reporting
• Proven experience interpreting CMS regulations, state Medicaid requirements, and companion guides
• Demonstrated program or project management experience with the ability to handle multiple priorities and deadlines
• Excellent cross-functional collaboration skills, with experience aligning technical, operational, and compliance stakeholders
• Strong analytical thinking, problem-solving abilities, and clear communication skills
• Highly organized, detail-oriented, and comfortable working in ambiguous or evolving environments
• Familiarity with tools and standards such as HIPAA X12 837P, EDM platforms (e.g., Edifecs, TriZetto), and data tools like Excel, SQL, Tableau, or Looker is a plus
• Experience with multi-state Medicaid environments, audits, or healthcare service delivery models is preferred

• Competitive salary with performance-based bonus opportunities and equity options
• Remote-first work environment with flexible working hours
• Comprehensive health coverage including medical, dental, and vision insurance
• Retirement savings plan with company matching contributions
• Generous paid time off, company holidays, and parental leave
• Opportunities for career growth and professional development within a mission-driven organization