Job Summary

• 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.
• Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, 401(k) retirement savings plan, and time off.

Matching Summary

Salary

$104,000 - $143,000 per year; Bonus incentive plan available; Comprehensive benefits package

Skills & Requirements

Key Requirements

• Bachelor's Degree or equivalent industry experience
• 6+ years technical/claims/encounter experience
• 3+ years management experience
• Prior demonstrated experience with process improvements
• Ability to manage multiple tasks and deadlines
• Excellent communication skills
• Demonstrated problem-solving skills
• Proven organizational and prioritization skills
• Comprehensive knowledge of Microsoft Office

Work Rights