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Encounter Data Analyst Jobs (NOW HIRING)

MetroPlusHealth

Data Analyst

Manhattan, NY · Hybrid

$80K - $90K/yr

Analyze claim and encounter data to ensure data submission is meeting regulatory requirements. * Reconcile data with regulatory reporting and gap analysis to identify areas for improvement. * Develop ...

Delta Dental of Michigan

Encounter Data Specialist

Okemos, MI · Hybrid

$15.50 - $20.50/hr

Encounter Data Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid ... Conducts root cause analysis for encounter errors reviews results, processes, and/or system ...

MetroPlusHealth

Data Analyst

Manhattan, NY · On-site

$80K - $90K/yr

Analyze claim and encounter data to ensure data submission is meeting regulatory requirements. * Reconcile data with regulatory reporting and gap analysis to identify areas for improvement. * Develop ...

Delta Dental of Michigan

Encounter Data Specialist

Okemos, MI · On-site

$15.50 - $20.50/hr

Encounter Data Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid ... Conducts root cause analysis for encounter errors reviews results, processes, and/or system ...

Astiva Health

Healthcare Data Analyst

Orange, CA · On-site

$85K - $115K/yr

Analyze medical and pharmacy claims, membership, supplement, lab, risk adjustment, and encounter data to support Medicare Advantage quality, risk, and operational programs. * Develop and maintain ...

Astiva Health

Healthcare Data Analyst

Orange, CA · On-site

$85K - $115K/yr

Analyze medical and pharmacy claims, membership, supplement, lab, risk adjustment, and encounter data to support Medicare Advantage quality, risk, and operational programs. * Develop and maintain ...

Astiva Health

Healthcare Data Analyst

Orange, CA

$85K - $115K/yr

Analyze medical and pharmacy claims, membership, supplement, lab, risk adjustment, and encounter data to support Medicare Advantage quality, risk, and operational programs. * Develop and maintain ...

Humana, Inc.

Encounter Data Management Lead

Become a part of our caring community The Encounter Data Management Lead is responsible for leading ... Analyze complex data issues and use AI-driven insights to determine root causes and solutions

Point32health

Sr Data Analyst

Canton, MA

$90K - $114K/yr

Support RI EOHHS encounter data submissions, including error analysis, reconciliation, remediation, and endtoend submission support. * Ensure compliance with regulatory requirements, business rules ...

Regal Medical Group, Inc.

$27 - $30/hr

The Encounter Data Analyst I, interprets results using a variety of techniques, ranging from simple data aggregation via statistical analysis to complex data mining. Designs, develops, implements and ...

Point32Health

Sr Data Analyst

Canton, MA · On-site

$90K - $114K/yr

Support RI EOHHS encounter data submissions, including error analysis, reconciliation, remediation, and end-to-end submission support. * Ensure compliance with regulatory requirements, business rules ...

Scanhealthplan

Health Care Analyst I

Long Beach, CA · On-site

$58K - $70K/yr

The Job Supports the Encounter Data team and the Health Care Informatics department by (1) ... Perform technical analysis and data mining for encounter data reporting requests from internal and ...

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All JobsEncounter Data Analyst Jobs

Encounter Data Analyst information

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$34K

$82.6K

$136K

How much do encounter data analyst jobs pay per year?

As of Jul 1, 2026, the average yearly pay for encounter data analyst in the United States is $82,640.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $97,000.00 per year, depending on experience, location, and employer.

Will AI replace a data analyst?

AI is transforming the role of data analysts by automating routine tasks such as data cleaning and basic analysis, but it is unlikely to fully replace the need for human analysts. Data analysts are essential for interpreting complex data, making strategic decisions, and applying domain knowledge that AI tools cannot replicate independently. Skills in data visualization, statistical analysis, and understanding business context remain critical in this evolving field.

What is the difference between Encounter Data Analyst vs Encounter Data Coordinator?

AspectEncounter Data AnalystEncounter Data Coordinator
Required CredentialsBachelor's in health informatics, healthcare, or related field; familiarity with healthcare data systemsSimilar credentials; often requires experience with healthcare data entry and coordination
Work EnvironmentAnalyzing healthcare encounter data, ensuring data accuracy, and reportingManaging data collection, coordinating between providers and payers, ensuring data completeness
Employer & Industry UsageHospitals, insurance companies, healthcare analytics firmsHealthcare providers, insurance companies, billing departments
Common Search & ComparisonEncounter Data Analyst vs Encounter Data Coordinator

The Encounter Data Analyst focuses on analyzing and ensuring the accuracy of healthcare encounter data, while the Encounter Data Coordinator manages the collection and coordination of encounter information. Both roles require healthcare data knowledge but differ in their primary responsibilities and focus areas within the healthcare industry.

What are the key skills and qualifications needed to thrive as an Encounter Data Analyst, and why are they important?

To thrive as an Encounter Data Analyst, you need strong analytical skills, attention to detail, and a background in health informatics, statistics, or a related field, often supported by a bachelor's degree. Familiarity with healthcare data systems such as claims processing software, SQL databases, and knowledge of HIPAA regulations are typically required, along with proficiency in tools like Excel or SAS. Excellent problem-solving abilities, communication skills, and the capacity to work both independently and collaboratively make someone stand out in this position. These skills are essential to ensure the accurate submission, validation, and analysis of healthcare encounter data, which directly impacts compliance, reporting, and reimbursement processes.

Is a data analyst highly paid?

Data analysts, including Encounter Data Analysts, are generally well-compensated, with salaries often above the national average depending on experience, location, and industry. Skilled analysts proficient in tools like Excel, SQL, and data visualization software tend to earn higher salaries, especially with certifications or advanced education.

What are Encounter Data Analysts?

Encounter Data Analysts are professionals who specialize in managing, analyzing, and ensuring the accuracy of healthcare encounter data—records of patient interactions with healthcare providers. They play a crucial role in validating, processing, and reporting this data to meet regulatory requirements, support healthcare operations, and improve care quality. Their work involves collaborating with healthcare providers, payers, and IT teams to identify data discrepancies, perform quality checks, and generate actionable insights from large datasets.

What are some common challenges Encounter Data Analysts face when ensuring data accuracy and compliance?

Encounter Data Analysts often encounter challenges related to incomplete or inconsistent healthcare data submitted by providers. Ensuring compliance with regulatory requirements, such as CMS or state-specific guidelines, requires a strong attention to detail and frequent collaboration with data submitters and internal teams. Analysts must regularly validate, clean, and reconcile large datasets, troubleshoot discrepancies, and stay up-to-date on evolving reporting standards. Effective communication and analytical skills are essential for addressing these challenges and maintaining data integrity.

Is there still a demand for data analysts?

Yes, data analysts are in high demand across many industries due to the increasing reliance on data-driven decision making. Skills in tools like Excel, SQL, and data visualization software enhance job prospects, and the role is expected to grow as organizations prioritize analytics and business intelligence.

What is an encounter analyst?

An encounter analyst is a healthcare data professional who reviews and analyzes patient encounter data, such as visits and treatments, to ensure accuracy and compliance. They often work with electronic health records (EHR) systems and may use data analysis tools to identify trends or discrepancies in healthcare encounters.
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Encounter Data Analyst jobs near you
Claims Encounter Data Analyst

Claims Encounter Data Analyst

CenCal Health

Santa Barbara, CA • On-site

$78K - $113K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Salary Range: $78,454.00 - $113,758.00

The Encounter Data Quality Analyst is responsible for providing analytical and reporting support to the Claims Operations, Outsourced Vendors and IT support team related to the processing and delivery of encounter data. Validates and analyzes reports and logs related to the processing of 837 transactions to ensure compliance, accuracy, completion and timeliness, as well as ongoing process improvement. Position reports to the Associate Director of Claims.

Duties and Responsibilities

  • Adhere to regulatory and internal guidelines in conjunction with CenCal Health policies and procedures as they apply to both internal and external encounter reporting
  • Perform data analysis of submitted encounter data files from external entities and produce regular reports of findings
  • Work in conjunction with outside vendors on claim file submission rejections to assure corrections are made so that clean data is being submitted prior to each load into the Caradigm system
  • Monitor and analyze encounter data reporting of encounter data
  • Maintain a thorough knowledge of CenCal Healths encounter data reporting requirements
  • Analyze, interpret, and summarize encounter data for development of solutions for reducing and mitigating errors
  • Analyze existing and future encounter submission regulatory guidelines to ensure compliance with system editing logic
  • Work in conjunction with the IT department on encounter data issues and process development related to successful encounter management
  • Work in conjunction with outside vendors on encounter data issues and develop a process to assure quality data is being provided
  • Work cooperatively on ongoing Encounter Data Process Improvement projects with other CenCal Health departments as well as external vendors and Provider Community
  • Maintain spreadsheets for reporting of encounter related projects both within the department as well as company wide
  • Recommend corrective action to resolve processing and data issues
  • Perform other duties as assigned

Skills/Knowledge/Abilities

  • Experience with EDI 837 transactions for claims and encounters
  • Technical knowledge related to claims/encounter data including understanding of coding systems (e.g. CPT/HCPCS, ICD-9/10, NDC)
  • Ability to diagnose problems with EDI processes by working effectively with internal departments and third parties
  • Assist in the formulation of policies and procedures related to the encounter data process; understand and interpret policies, procedures and regulations
  • Proficient use of MS Access, Excel and Word and/or SQL
  • Knowledge of data analysis methods used in the encounter/claim submission process
  • Knowledge of Medi-Cal program guidelines, regulations and data reporting requirements
  • Analytical and problem solving skills
  • Excellent verbal and written communication skills
  • Team player who builds effective working relationships
  • Ability to work independently
  • Ability to attend meetings and participate in small teams effectively
  • Detail oriented

Education and Experience

  • Bachelor's Degree in Health Care Administration, Business Administration or related fields preferred
  • Two Three (2-3) years in data analysis in a managed health care environment; claims experience is highly desirable
  • Any combination of education, training and experience that would provide the knowledge and abilities listed
  • Experience in healthcare system configuration
  • Experience in analysis
  • Must be proficient in the MS Suite of software and have intermediate-advances skills in Excel
  • Familiarity with database systems
  • Must be experience in Oracle database systems

Apply