Manager of Risk Adjustment Encounter Data Reconciliation

The Manager of Risk Adjustment Encounter Data Reconciliation is a technical, data-driven operational leader responsible for ensuring the complete, accurate, and timely submission of health plan encounter data to state and federal regulatory bodies. This role manages daily reconciliation lifecycles, tracks federal response files, resolves clearinghouse rejections, and partners with internal teams to protect risk score integrity and ensure regulatory compliance. The position involves leading staff, maintaining audit readiness, and driving continuous improvement in encounter data pipelines.