RA Encounter Data Systems Associate Analyst

The Risk Adjustment (RA) Associate Encounter Data Systems Analyst is an entry-level role focused on supporting the end-to-end Encounter Data Submission process across all applicable lines of business. This position plays a key role in collecting, analyzing, documenting, and reporting data to ensure compliance with state and federal requirements. As part of the Risk Adjustment Encounters team, the analyst helps manage the flow of data from multiple sources into the Encounter Data Management System through staging, transformation, and ingestion processes.

Key responsibilities include routine processing of encounter data, investigating and resolving submission errors, resubmitting corrected data, and supporting software upgrades through user acceptance and unit testing. The analyst also assists in troubleshooting data and application issues, performing root cause analysis, and supporting technical integrations with upstream systems.

This role requires a foundational understanding of database management, data querying, reporting, and reconciliation. The analyst contributes to mapping core health plan systems-such as claims, enrollment, pharmacy, and ancillary services-to government-mandated data outputs. Additionally, the role involves generating both routine and ad-hoc reports to monitor submission accuracy and operational efficiency across all lines of business.

• Support the routine and ad-hoc creation, validation, and submission of Encounter Data files, including Enrollment, Medical Claims, Pharmacy, and Chart Review data, in accordance with regulatory requirements.

• Assists with root cause analysis on encounter data held for internal edits or rejected by external entities; collaborate with fellow analysts and cross-functional teams to resolve issues and ensure timely resubmission.

• Document upstream business processes that influence encounter data inputs, identifying system dependencies and potential data quality risks.

• Maintain comprehensive documentation of the Encounter Data Submission lifecycle, including internal edit logic, update protocols, and explainable variances that impact final reconciliation and compliance reporting.

• Assist in the development of operational reports and reconciliation tools to track encounter data across all stages-input sources, data batches, file submissions, and response files

• Contribute to the design and delivery of dashboards and executivelevel reporting to communicate key encounter data metrics and performance indicators to senior leadership

• Ensure data accuracy and integrity through detailed analysis, reconciliation, clear documentation, and proactive issue resolution.

• Support the design, development, and execution of ad-hoc reports and data analyses using SQL and other analytical tools; validate and publish metrics to assess operational effectiveness and compliance.

• Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.

• Perform other duties as assigned.

Required

• Bachelor's degree or equivalent in business, computer science, application programming, software development, information systems, database administration, mathematics, engineering, or a related field
  or equivalent relevant work experience.

Preferred

• 1 year of relevant experience in an IT systems, database, analytics, or related technical environments.

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.