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Federal/Government Submissions Manager (Healthcare)

Work from home Full-time role Hiring

If you are interested for this Full-time (Direct Hire) position, please send your resume. Job Title: Manager – Government Submissions & Healthcare Data Analytics Location:Fully Remote Job Type: Full-time (Direct Hire) Required Skills & Experience

  • 5+ years of relevant professional experience, including 3+ years in a leadership/management role
  • Strong expertise in Medicare Advantage and/or ACA marketplace, with solid understanding of CMS regulations and programs
  • Advanced knowledge of SQL Server, SSIS, SSRS, and strong data handling capabilities
  • Proficiency in MS Access, Excel, PowerPoint, and Word
  • Experience with data visualization tools (e.g., Power BI, Tableau)
  • Strong analytical, problem-solving, and critical thinking skills
  • Ability to analyze complex datasets and provide actionable insights
  • Excellent communication and stakeholder management skills, with the ability to explain technical concepts to non-technical audiences
  • Proven team leadership, mentoring, and delegation skills

Preferred Skills & Experience

  • Bachelor’s degree in Finance, Mathematics, Computer Science, Health Science, Data Science, or related field
  • Experience leading Risk Adjustment and Government Submissions teams within healthcare organizations
  • Exposure to HEDIS data collection and submission processes
  • Knowledge of statistical tools such as R or SAS
  • Experience working with health plans, providers, consulting firms, or regulatory bodies (CMS, Department of Health, etc.)

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