Supervisor, Encounter Data Management

Humana

9d • $65,000 - $88,600 • Remote

About The Position

Become a part of our caring community and help us put health first The Supervisor, Encounter Data Management develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Decisions are typically are related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies. The Supervisor, Encounter Data Management ensures data integrity for claims errors. The Supervisor, Encounter Data Management works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. This position will report to the Encounter Data Management, Manager. Use your skills to make an impact

Requirements

• 4 + years of claims experience
• Understanding of Medicaid and Medicare processes, including 835/820 transactions
• 2+ years of experience leading or supervising a team or large‑scale projects.
• Proven ability to manage large data and transaction volumes and determine priority order of work
• Ability to multitask and work under tight deadlines with strong attention to detail
• Demonstrated experience with process improvements
• Effective communicator with strong presentation and documentation skills
• Demonstrated problems solving skills; ability to give direction and make sound business decisions
• Proven organizational and prioritization skills and ability to collaborate with multiple departments
• Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel

Nice To Haves

• Bachelor's degree
• CAS experience
• Certification in Six Sigma or Project Management
• Prior Experience in healthcare or insurance setting

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level