CMS Encounter Implementation Specialist

GoTo Meeting; Raleigh (NC); On-site; USD 92,972 - 129,231; Full time

Job summary

GoTo Meeting in Raleigh, NC seeks a Systems Analyst responsible for implementing CMS encounter submissions for new and expanding payer clients. This role involves requirements gathering, data mapping, and ensuring compliance with CMS regulations.

The ideal candidate has a Bachelor's degree, 3+ years experience in healthcare data implementations, and strong SQL skills. The role requires excellent communication and analytical abilities to successfully coordinate implementation activities.

Qualifications

• 3+ years of experience supporting healthcare data implementations or payer technology solutions.
• Strong knowledge of CMS encounter submissions and Medicare Advantage.
• Hands-on experience with ANSI X12 transactions.
• Excellent written and verbal communication skills.

Responsibilities

• Lead requirements gathering sessions with stakeholders.
• Document business and technical requirements for encounter implementations.
• Develop detailed data mappings for CMS-compliant encounter files.
• Support unit, integration, and user acceptance testing.

Skills

CMS encounter submissions

SQL

Data validation

Healthcare data implementations

Analytical skills

Education

Bachelor’s degree in information systems or equivalent

Job description

GoTo Meeting in Raleigh, NC seeks a Systems Analyst responsible for implementing CMS encounter submissions for new and expanding payer clients. This role involves requirements gathering, data mapping, and ensuring compliance with CMS regulations.

The ideal candidate has a Bachelor's degree, 3+ years experience in healthcare data implementations, and strong SQL skills. The role requires excellent communication and analytical abilities to successfully coordinate implementation activities.