Senior Encounter Data Management Professional

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $78.4k - $107.8k / year

⏰ Full Time

🟠 Senior

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ 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

• Drive encounter data quality, compliance, and operational performance. • Lead a team of 2–5 associates overseeing Medicare and Medicaid encounter data operations. • Identify and implement process improvements to increase efficiency, quality, and compliance. • Serve as a subject matter expert for Medicare and Medicaid encounter error correction processes. • Present performance results, key accomplishments, and areas of concern to business stakeholders.

🎯 Requirements

• 3+ years of experience in Medicare and Medicaid claims, encounters, auditing, or payment integrity operations. • 2+ years of experience coordinating the work of associates or project teams. • 2+ years of experience analyzing large datasets and using data to identify trends, resolve issues, and support decisions. • 3+ years of experience working in a health insurance, managed care, healthcare, or related regulatory environment. • Demonstrated experience delivering accurate results in a high-volume setting.

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • short-term and long-term disability • life insurance and many other opportunities