Associate Director, Encounter Data Management

Job not on LinkedIn

🔥 4 hours ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

💵 $104k - $143k / year

⏰ Full Time

🟠 Senior

👔 Director

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Humana

WebsiteLinkedInAll Job Openings

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 • Ensure data integrity for claims errors • Lead multiple managers or highly specialized professional associates as needed • Report to the Director, Encounter Data Management

🎯 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 • Solid understanding of how organizational capabilities interrelate across departments • Encounter data knowledge preferred • Claims processing knowledge preferred • Minimum 25 Mbps download and 10 Mbps upload internet connection for home work • Dedicated workspace without ongoing interruptions • Ability to travel occasionally to Humana offices for training or meetings

🏖️ 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 requirement to protect member PHI/HIPAA information