Job Summary

• The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare.
• 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.
• Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, and a 401(k) retirement savings plan.

Matching Summary

Salary

$78,400 - $107,800 per year; Bonus incentive plan available; Comprehensive benefits package

Skills & Requirements

Key Requirements

• 3 years Medicare/Medicaid claims processing/auditing
• Analyze and visualize large data sets
• Fast-paced insurance/healthcare setting
• Manage multiple tasks and deadlines
• Intermediate Excel skills
• Microsoft Office Suite
• Bachelor's degree preferred
• SQL writing experience preferred
• CAS and CI experience preferred
• X-12 data knowledge preferred
• Six Sigma certification preferred

Work Rights