Senior Encounter Data Management Professional

HumanPanorama

Multiple Locations
Base: $78,400 - $107,800 py; bonus/equity: eligibl...
Fully remote
Sql or microsoft access coding
Manage multiple tasks and deadlines
Data integrity for claims errors
The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare

Job Summary

  • The Senior Encounter Data Management Professional 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 offers competitive benefits that support whole-person well-being, including medical, dental, vision, 401(k), and various paid time off options.

Matching Summary

The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare.

Salary

Base: $78,400 - $107,800 per year; Bonus/Equity: eligible for a bonus incentive plan; Benefits: medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • SQL or Microsoft Access coding
  • manage multiple tasks and deadlines
  • data integrity for claims errors
  • encounter submission processes
  • analysis of data

Nice-to-have

  • passionate about consumer experiences
  • contributing to department strategy
  • pharmacy claims and encounters
  • Six Sigma certification

Key Requirements

  • 5 or more years of related experience
  • Bachelor's degree in Business, Data Management, Operations or other related fields
  • Master's Degree in Business Administration or a related field
  • Prior demonstrated experience with pharmacy claims and encounters
  • Prior experience with Medicare and Medicaid programs

Work Rights

Not specified

Tailored Resume

Cover Letter