Manager, Encounter Data Management

CarePlus Health Plans Inc

California, US
Base: $86,300 - $118,700 py; bonus: eligible for i...
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Medicare and/or medicaid claims processing experience
Leadership and team coaching experience
Data analysis and visualization skills
** The Manager, Encounter Data Management at CarePlus Health Plans Inc. is responsible for developing processes that ensure the accurate submission and reconciliation of encounter data for Medicaid and Medicare. This fully remote role involves leading a team, enhancing compliance standards, and driving long-term improvements in encounter submission processes. **

Job Summary

  • The Manager, Encounter Data Management leads a team to develop efficient business processes for error corrections and ensures successful submission of encounter data to Medicare and Medicaid trading partners.
  • This role requires ensuring all encounter submissions meet or exceed compliance standards through rigorous data analysis and the development of tools to enhance acceptance rates.
  • 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

Match Score: 75

** The Manager, Encounter Data Management at CarePlus Health Plans Inc. is responsible for developing processes that ensure the accurate submission and reconciliation of encounter data for Medicaid and Medicare. This fully remote role involves leading a team, enhancing compliance standards, and driving long-term improvements in encounter submission processes. **

Salary

Base: $86,300 - $118,700 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), PTO, parental leave

Skills & Requirements

Must-have

  • Medicare and/or Medicaid claims processing experience
  • Leadership and team coaching experience
  • Data analysis and visualization skills
  • Microsoft Office and Excel proficiency
  • Cross-departmental collaboration ability

Nice-to-have

  • Self-starter with independent work capability
  • Experience in fast-paced healthcare settings
  • Strong communication with senior leadership
  • Ability to manage multiple priorities simultaneously

Key Requirements

  • Bachelor's degree in Business, Finance, Operations or related field
  • 3+ years with Medicare and/or Medicaid claims processing or auditing
  • 2+ years of leadership, coaching, and team management experience
  • Intermediate Excel skills and comprehensive Microsoft Office knowledge

Work Rights

Not specified

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