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Senior 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 ...

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 · 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 ...

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 ...

Point32health

Sr Data Analyst

Canton, MA · On-site

$90K - $114K/yr

... the Senior Data Analyst leads critical data submission activities for the Risk Adjustment ... Support RI EOHHS encounter data submissions, including error analysis, reconciliation, remediation ...

Humana, Inc.

Lead Encounter Data Management

In this senior-level role, you will develop scalable analytical solutions, optimize encounter submission processes, and drive initiatives that improve data quality, acceptance rates, and business ...

Point32Health

Sr Data Analyst

Canton, MA · On-site

$90K - $114K/yr

... the Senior Data Analyst leads critical data submission activities for the Risk Adjustment ... Support RI EOHHS encounter data submissions, including error analysis, reconciliation, remediation ...

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 ...

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 ...

LIBERTY DENTAL

We're hiring an Encounter Data & Regulatory Analytics Manager with strong SQL programming skills with the ability to query, analyze, and validate complex data sets. Experience working with healthcare ...

LMI Consulting, LLC

Senior Health Data Analyst

Tysons, VA · On-site

$92K - $158K/yr

Senior Health Data Analyst Job Locations US-VA-Tysons Job ID 2026-13899 # of Openings 1 Benefit ... encounter data, enrollment, quality and /or provider data) for the Medicare program * 3-5 years of ...

LMI

Senior Health Data Analyst

Tysons, VA · On-site

$92K - $158K/yr

Successful Senior Health Policy Data Analyst demonstrate competency in health data analysis, health ... encounter data, enrollment, quality and /or provider data) for the Medicare program * 3-5 years of ...

LMI

Senior Health Data Analyst

Tysons, VA

$92K - $158K/yr

Successful Senior Health Policy Data Analyst demonstrate competency in health data analysis, health ... encounter data, enrollment, quality and /or provider data) for the Medicare program * 3-5 years of ...

LMI

Senior Health Data Analyst

Tysons, VA · On-site

$92K - $158K/yr

Successful Senior Health Policy Data Analyst demonstrate competency in health data analysis, health ... encounter data, enrollment, quality and /or provider data) for the Medicare program * 3-5 years of ...

Humana, Inc.

Encounter Data AI & Automation 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

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Senior Encounter Data Analyst information

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$55K

$99.2K

$135.5K

How much do senior encounter data analyst jobs pay per year?

As of Aug 2, 2026, the average yearly pay for senior encounter data analyst in the United States is $99,231.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,000.00 and $108,500.00 per year, depending on experience, location, and employer.

What are Senior Encounter Data Analysts?

Senior Encounter Data Analysts are experienced professionals who specialize in analyzing and validating healthcare encounter data, which includes records of services provided to patients. They ensure that the data submitted to regulatory agencies is accurate, complete, and compliant with industry standards. Their duties often involve data quality assurance, reporting, troubleshooting data anomalies, and collaborating with IT and clinical teams to improve data processes. These analysts play a critical role in supporting healthcare organizations' reimbursement, compliance, and operational goals.

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

To thrive as a Senior Encounter Data Analyst, you need strong analytical skills, a solid understanding of healthcare data (especially claims and encounter data), and a bachelor's degree in a related field such as health informatics or statistics. Expertise with data analysis tools like SQL, SAS, or Python, as well as familiarity with CMS or Medicaid/Medicare data submission requirements, is typically required. Attention to detail, problem-solving abilities, and effective communication are valuable soft skills for this role. These competencies ensure accurate data analysis, regulatory compliance, and clear reporting to support organizational decision-making in the healthcare sector.

What are some common challenges faced by Senior Encounter Data Analysts when ensuring data accuracy and compliance?

Senior Encounter Data Analysts often encounter challenges such as incomplete or inconsistent data submissions, evolving regulatory requirements, and integration of data from multiple sources. Ensuring data accuracy requires close collaboration with internal teams, such as IT and compliance, and proactive communication with healthcare providers. Staying updated on the latest CMS and state guidelines is essential, as is implementing robust quality assurance processes to minimize errors and address discrepancies quickly.

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

AspectSenior Encounter Data AnalystEncounter Data Analyst
Required CredentialsBachelor's degree in health informatics, data analysis, or related field; experience with healthcare data systemsBachelor's degree in health informatics, data analysis, or related field; some experience preferred
Work EnvironmentHealthcare organizations, insurance companies, or consulting firmsHealthcare providers, insurance companies, or data analysis teams
Employer & Industry UsageCommonly employed in healthcare and insurance sectors for complex data projectsUsed across similar sectors for routine data processing and reporting

The main difference is that a Senior Encounter Data Analyst typically has more experience, handles complex data projects, and may oversee junior staff, whereas an Encounter Data Analyst focuses on routine data entry and reporting tasks. Both roles require similar educational backgrounds and are vital in healthcare data management, but the senior role involves greater responsibility and expertise.

What cities are hiring for Senior Encounter Data Analyst jobs? Cities with the most Senior Encounter Data Analyst job openings:
What are the most commonly searched types of Encounter Data Analyst jobs? The most popular types of Encounter Data Analyst jobs are:
What states have the most Senior Encounter Data Analyst jobs? States with the most job openings for Senior Encounter Data Analyst jobs include:
Senior Encounter Data Analyst jobs near you

Senior Encounter Data Specialist

Delta Dental of Michigan

Okemos, MI • On-site

$15.50 - $20.50/hr

Full-time

Medical, Dental

Re-posted 23 days ago

Job description

Job Title:
Senior Encounter Data Specialist
Number of Positions:
1
Location:
Okemos, MI
Location Specifics:
Hybrid Position
Job Summary:
At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Position Description:
Leads the organization, analysis, correction and recommendation of solutions to internal and external stakeholders regarding encounter data issues, policies, processes, requirements, and records.
Primary Job Responsibilities:
  • Represents encounter team to leadership, presenting reports, project progress, metrics and other deliverables.
  • Leads the correction of rejected encounters in compliance with internal and external processing guidelines and best practices.
  • Oversees the team's efforts in researching, reviewing, and interpretation of encounter data to identify potential issues and address rejected records.
  • Monitors, manages, and audits encounter submissions to ensure timely and accurate file submission and processing.
  • Monitors the development, implementation and maintenance of encounter policies and procedures.
  • Monitors and evaluates related processes to ensure internal and external requirements are met, represents the encounter team when partnering with functional areas to maintain claims system support tables, and coordinates data entry or general data maintenance for eligibility, providers, fee sets, and benefits for related records.
  • Oversees the root cause analysis for encounter errors and reviews results, processes, and/or system programming with other departments to minimize repeat issues.
  • Oversees the development and maintenance of the encounter error library, policies and procedures to correct rejected encounters, and daily and weekly reports.
  • Conducts trend analysis of rejected encounters and develops reports to identify opportunities for improvement, and recommends solutions.
  • Monitors the development and testing of internal audit and Integrated Data Management reports to prevent rejections and oversees the completion of audit reports in other departments.
  • Establishes and maintains strong relationships with internal and external plans, partners, and other stakeholders to correct, prevent, and resolve encounter errors.
  • Serves as lead subject matter expert and key internal consultant on encounter data, policies, processes, corrections, and develops training for internal stakeholders regarding regulatory changes.
  • Coordinates and leads encounter data and compliance meetings.
  • Oversees compliance with data integrity policies for all system configurations.
  • Leads the recruitment process for new encounter data staff, including interviewing, selection, onboarding and training.
  • Assures adherence to company policies and internal controls, regulatory compliance, and general principles.
  • Communicates and manages encounter deliverables to ensure compliance with state requirements and contract SLAs.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
#LI-Hybrid
Minimum Requirements:
Position requires a bachelor's degree in business administration or a related field and seven years of experience identifying, analyzing, or resolving business, system, or process issues in the administration of health plan benefits. Previous experience in the administration of Medicare and/or Medicaid programs and Centers for Medicare and Medicaid regulations and guidelines is preferred. Will accept any suitable combination of education, training, or experience.
Position requires knowledge of word processing, spreadsheet, presentation, and database applications; strong verbal and written communication skills; strong analytical skills; the ability to lead a team; the ability to manage multiple assignments with competing deadlines; strong interpersonal skills, including the ability to represent and present to organizational leadership; and the ability to identify and resolve complex problems using independent judgement.
The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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