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Senior Reporting & Encounters Program Manager

Roles & Responsibilities

  • Bachelor's degree or equivalent experience in healthcare, managed care, operations, or a related field
  • 5+ years of experience in Medicaid reporting, encounters, claims operations, or related healthcare functions
  • Strong understanding of end-to-end claims and encounter lifecycle, including submission, processing, and reporting
  • Experience interpreting regulatory guidance, including CMS requirements, state Medicaid rules, and companion guides

Requirements:

  • Own and coordinate end-to-end Medicaid reporting and encounter processes to ensure accuracy, timeliness, and compliance with state and federal requirements
  • Be accountable for on-time, accurate submission of all encounter and reporting deliverables across assigned markets
  • Serve as the primary cross-functional lead to identify, triage, and resolve reporting and data issues across Operations, Product, BI, Finance/Claims, Compliance, and Account Management
  • Lead enterprise-level client-facing activities, including client calls, distilling deliverables, and communicating updates to relevant stakeholders

Job description

About the Role 

 

SafeRide Health is seeking a Sr. Reporting & Encounters Program Manager to lead and coordinate the end-to-end reporting and encounter processes across multiple Medicaid markets. This role serves as a central liaison across Operations, Product, Business Intelligence, Finance/Claims, Compliance, Legal, and Account Management teams to ensure accuratetimely, and compliant reporting deliverables. 

 

You will play a critical role in driving operational excellence by managing a significant portfolio of monthly deliverables and implementations, identifying process gaps, resolving cross-functional issues, and implementing scalable solutions that support increasing reporting demands. This position requires a strong understanding of Medicaid claims and encounter lifecycles, as well as the ability to professionally represent SafeRide externally with clients, interpret regulatory guidance, and translate requirements into actionable processes. 

 

This is an opportunity to directly impact compliance, client satisfaction, and the scalability of SafeRide’s reporting infrastructure as we expand into new markets. 

 

Key Responsibilities 

  • Own and coordinate end-to-end Medicaid reporting and encounter processes to ensure accuracy, timeliness, and compliance with state and federal requirements 
  • Be accountable for on-time, accurate submission of all encounter and reporting deliverables across assigned markets 
  • Serve as the primary cross-functional lead to identify, triage, and resolve reporting and data issues across Operations, Product, BI, Finance/Claims, Compliance, and Account Management 
  • Play a polished, enterprise-level client-facing role supporting deliverables, including leading client calls, distilling deliverables, and communicating updates to relevant stakeholders 
  • Interpret CMS and state-specific guidance, including companion guides and contractual requirements, and translate them into operational processes 
  • Partner closely with Legal and Compliance teams to ensure alignment with regulatory expectations and audit readiness 
  • Lead root cause analysis efforts for reporting discrepancies, delays, or data integrity issues, and drive resolution across teams 
  • Establish and improve processes to support scalable reporting operations, including standardization, documentation, and change management practices 
  • Support new market implementations by standing up reporting and encounter processes for new states and clients 
  • Improve reporting timelines, data quality, and delivery consistency through proactive planning and cross-team coordination 
  • Manage dependencies, track deliverables, and ensure accountability across multiple stakeholders and workstreams 
  • Develop and maintain documentation, workflows, and reporting requirements to support internal alignment and external audits 

 

Required Qualifications 

  • Bachelor’s degree or equivalent experience in healthcare, managed care, operations, or a related field 
  • 5+ years of experience in Medicaid reporting, encounters, claims operations, or related healthcare functions 
  • Strong understanding of the end-to-end claims and encounter lifecycle, including submission, processing, and reporting 
  • Experience interpreting regulatory guidance, including CMS requirements, state Medicaid rules, and companion guides 
  • Proven experience in project or program management, with the ability to manage multiple priorities and meet tight deadlines 
  • Demonstrated ability to work cross-functionally and drive alignment across technical, operational, and compliance teams 
  • Strong analytical, problem-solving, and communication skills 
  • Highly organized, detail-oriented, and comfortable with ambiguity 
  • Thrives in a fast-paced, startup-oriented environment and demonstrates a preference for agility, innovation, and problem-solving over traditional, highly bureaucratic healthcare administrative structures 

 

Preferred Qualifications 

  • Familiarity with Medicaid submission processes, the HIPAA X12 837P encounter format and Encounter Data Management (EDM) platforms (e.g., Edifecs, TriZetto) 
  • Experience working across multiple states or complex Medicaid environments 
  • Background in NEMT or similar healthcare service delivery models 
  • Proficiency in Excel and familiarity with data/reporting tools (e.g., SQL, Tableau, Looker, or similar) 
  • Experience supporting audits, regulatory reviews, or client reporting requirements 

 

Benefits 

 

We offer a remote-first work environment, competitive compensation, and comprehensive benefits including: Career growth and development opportunities in a mission-driven organization; Competitive salary, annual bonus opportunities, and equity options; Remote with flexible hours; Comprehensive medical, dental, and vision insurance; 401(k) with company match; Generous PTO, paid company holidays, and paid parental leave. 

 

About Us 

 

SafeRide Health is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation to people across America. SafeRide employs proprietary technology, paired with a nationwide network of vetted transportation providers. This enables payers and health systems to deliver cost-effective, on-demand transportation intelligently, enhancing the patient experience in the process. SafeRide serves the largest Medicare Advantage, Medicaid, and provider programs in the country. 

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