Become a part of our caring community and help us put health first
 

Humana Healthy Horizons in Oklahoma is seeking a Senior Encounter Data Management Professional who 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.

You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company. We’re proud of our Louisville roots and, as we’ve grown, that community feeling has spread across all 50 states and Puerto Rico. No matter where you are—whether you’re working from home, from the field, from our offices, or from somewhere in between—you’ll feel welcome here. We’re a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone’s voice is heard and respected. Community is a verb here. It’s up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.

Are you Caring, Curious and Committed? If so, apply today!

The Senior Encounter Data Management Professional:

• Ensures data integrity for claims errors
• Works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors
• Looks for long term improvements of encounter submission processes
• Begins to influence department’s strategy
• Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction
• Exercises considerable latitude in determining objectives and approaches to assignments

Use your skills to make an impact
 

Required Qualifications

• Must reside in Oklahoma
• Bachelor's degree in Business, Finance, Operations or other related fields - OR - 5 or more years of encounter data management experience
• Prior experience in a fast paced insurance or health care setting
• Ability to manage multiple tasks and deadlines with attention to detail
• Excellent communication skills
• Self-starter, ability to work independently
• Ability to manage multiple priorities simultaneously
• Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel
• Willing to travel to office in Oklahoma City when needed.

Preferred Qualifications

• Master's Degree in Business Administration or a related field
• Prior demonstrated experience with project management
• Prior experience with Medicare and Medicaid programs
• Six Sigma certification a plus

Work at Home Guidance

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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, knowledge, experience, education, certifications, etc.

 

$69,800 - $96,200 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Bene