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Associate Director, Encounter Data Management

🕒 August 4

🐎 Kentucky – Remote

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💵 $104k - $143k / year

⏰ Full Time

🟠 Senior

👔 Director

🦅 H1B Visa Sponsor

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👻 Ghost score 29%

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Develop business processes for successful submission and reconciliation of encounter submissions to Medicaid/Medicare • Ensure encounter submissions meet or exceed compliance standards through data analysis • Develop tools to improve encounter acceptance rates by Medicaid/Medicare • Identify long-term improvements to encounter submission processes • Identify and resolve complex technical and operational problems • Lead multiple managers or highly specialized professional associates as applicable • Ensure data integrity for claims errors • Apply an understanding of how organizational capabilities interrelate across departments • Report to the Director, Encounter Data Management • Travel occasionally to Humana offices for training or meetings

🎯 Requirements

• 4 years of product management leadership experience • 2 years of agile leadership experience • 4 years of people-leadership or team management experience • 2 years of project management leadership experience • Encounter data knowledge preferred • Claims processing knowledge preferred • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Wireless, wired cable, or DSL connection suggested • Ability to work from a dedicated space without ongoing interruptions • Not eligible for work visa sponsorship

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Self-provided internet service for remote work • Dedicated workspace to protect member PHI / HIPAA information • Occasional travel to Humana offices for training or meetings

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