Encounter Data Analyst

Network Health WI

. Lead encounter data error identification and coordinate error resolutions with external vendors, clients, and internal departments .

Posted 10/5/2026full-timeMenasha • Wisconsin • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medicaid Encounter Tracking System (METS) management, data analysis, and compliance with DHS regulations. Proven ability to coordinate with external vendors and internal departments to optimize processes and enhance data workflows.

Highest-signal resume keywords

Medicaid ExperienceBusiness Analyst ExperienceDHS File SubmissionsData Analysis SkillsSQL Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data AnalysisError IdentificationWorkflow DevelopmentDatabase ManagementSystem DesignReport WritingProcess ImprovementAutomation OptimizationHealth Plan Data ProcessingClaims Processing

Soft Skills

CommunicationProblem SolvingCollaborationLiaison SkillsInnovative Thinking

Tools & Technologies

Microsoft Office SuiteSQLMedicaid Encounter Tracking System (METS)

Industry Keywords

Health InsuranceGovernment ProgramsDHS Regulations837 File Submissions834 File Submissions

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Lead encounter data error identification and coordinate error resolutions with external vendors, clients, and internal departments
Act as liaison between external vendors, clients, and internal departments
Coordinate maintenance and enhancements for the Medicaid Encounter Tracking System (METS) tool
Develop workflows and documentation related to encounter data processes
Stay informed about industry changes, including DHS regulations, and assess their impact on encounter data submissions
Attend all DHS technical calls
Propose innovative approaches to improve automation and optimize processes
Maintain compliance with DHS laws, guidance, regulations, and standards

Requirements

What you’ll need

Bachelor’s Degree in Information Technology, Health Care Information or similar field required, or equivalent years of experience may be substituted
3+ years working in a health insurance or government programs role required
2+ years’ experience working as a Business Analyst or similar role required
Prior experience with Medicaid required
Experience with DHS file submissions, 837 and 834 file submissions, and health plan data including provider and claims processing systems
Experience using data to identify trends, solve problems and improve processes
Ability to analyze data to determine error sources and trends
Understanding of database management, system design, querying and report-writing tools
Intermediate/advanced skills working with Microsoft Office Suite
SQL skills preferred
Reliable internet required
Candidates must reside in the state of Wisconsin

Benefits

Comp & perks

Paid volunteer time in the local neighborhood
Home-office work eligibility
Opportunity to work hard and have fun while making a difference in local communities