Associate Vp, Encounters Submissions

CarePlus Health Plans Inc

Louisville, Kentucky, United States
Base: $203,400 - $279,800 py; bonus/equity: eligib...
Fully remote
7+ years management experience
Medicare advantage and medicaid industry knowledge
Experience managing large-scale operational processes
The Associate Vice President leads a large-scale operation of approximately 220 associates focused on the successful submission of encounter data to CMS and Medicaid State Agencies

Job Summary

  • The Associate Vice President leads a large-scale operation of approximately 220 associates focused on the successful submission of encounter data to CMS and Medicaid State Agencies.
  • This role is accountable for driving all operational activities required to achieve critical compliance metrics including submission timeliness, accuracy, rate setting, and audit-related requirements.
  • Humana offers competitive benefits including medical, dental, vision, 401(k) retirement savings, paid time off, and an incentive bonus plan based on company and individual performance.

Matching Summary

The Associate Vice President leads a large-scale operation of approximately 220 associates focused on the successful submission of encounter data to CMS and Medicaid State Agencies.

Salary

Base: $203,400 - $279,800 per year; Bonus/Equity: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), PTO, parental leave

Skills & Requirements

Must-have

  • 7+ years management experience
  • Medicare Advantage and Medicaid industry knowledge
  • Experience managing large-scale operational processes
  • Process reengineering and automation implementation
  • Vendor relationship management

Nice-to-have

  • Strong culture of teamwork and accountability
  • Enterprise-thinker with innovation mindset
  • Best in class communication skills
  • Experience with IT budgeting and prioritization
  • Comfort making quick decisions based on insights

Key Requirements

  • Bachelor's degree required
  • Master's degree preferred
  • 3+ years managing large-scale operational processes
  • Eastern or Central time zone preference
  • Louisville, KY location preference

Work Rights

Not specified

Tailored Resume

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