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The Manager, 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 related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration and conducts briefings and area meetings; maintains frequent contact with other managers across the department.

The Manager, Encounter Data Management leads a team of associates who develop efficient business processes for Error Corrections associates and ensures successful submission and reconciliation of encounter submissions across multiple Medicare/Medicaid trading partners. Ensures Medicare/Medicaid encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate for Medicare/Medicaid trading partners. Looks for long term improvements and/or automation for error corrections processes. Plays a key role in influencing departmental strategy, makes decisions on resources, approach and operations of day-to-day focus, and establishes team as subject matter experts when it is related to the resolution of error. Exercises considerable latitude in determining objectives to exceed goals and can effectively communicate objectives and accomplishments to upper management.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree in Business, Finance, Operations or other related fields or 3+ years with Medicare and/or Medicaid claims processing or auditing experience
• 2+ years of leadership, coaching and/or team leadership experience
• Demonstrated problems solving skills; ability to give direction and make sound business decisions
• Ability to develop and present information to senior leadership
• Excellent communication skills
• Experience with analyzing and visualizing large data sets
• Ability to manage multiple tasks and deadlines with attention to detail
• Prior experience in a fast-paced insurance or health care setting
• Self-starter, ability to work independently
• Ability to manage multiple priorities simultaneously
• Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Intermediate Excel skills

Preferred Qualifications

• Working knowledge of Edifecs and HERO applications
• 1+ years' experience working in CAS and CI
• Working knowledge of SQL writing, creating, and/or running queries (ORACLE, Microsoft SQL Server)
• 1+ years of X-12 data knowledge
• Six Sigma certification

Additional Information

Work-At-Home Requirements

• WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.  
• Satellite and Wireless Internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, kno