Federal/Government Submissions Manager (Healthcare)

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.)