Be an early applicantLess than 25 applicants

Company

Humana · 6 hours ago

Senior Encounter Data Management Professional

Kentucky, United States

Full-time

Remote

Senior Level

$70K/yr - $96K/yr

3+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

U.S. Citizen Only

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Responsibilities

Serves as a subject matter expert for error corrections teams for Medicare/Medicaid trading partners

Facilitates regular collaborative meetings with Encounter Submissions teams, providing status updates on inventory, outstanding concerns, systems issues, and more

Presents summary of inventory, successes, and areas of concerns to internal business partners

Serves as a point of contact for special projects for Medicare/Medicaid encounters

Identifies opportunities for process improvements and works with internal business partners to implement new processes and/or enhancements to existing processes

Provides ongoing support and training to direct reports and production associates

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medicare claims processingMedicaid claims processingData analysisLeadership experienceSQL queriesMicrosoft OfficeProject managementError correctionsProcess improvementX-12 data knowledgeSix Sigma certificationManage priorities

Required

3 years or greater with Medicare and/or Medicaid claims processing or auditing experience

1+ years of leadership, coaching and/or team leadership experience

Experience with analyzing and visualizing large data sets

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 Intermediate Excel skills

Preferred

Bachelor's degree in Business, Finance, Operations or other related fields

Prior demonstrated experience with project management

Working knowledge of SQL writing, creating, and/or running queries (ORACLE, Microsoft SQL Server)

1+ years experience working in CAS and CI

1+ years of X-12 data knowledge

Six Sigma certification

Benefits

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

Company

Humana

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10,001+ employees

http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)