Manager, Encounter Data Management

HumanPanorama

Base: $86,300 - $118,700 py; bonus: eligible for i...
Fully remote
Medicare and medicaid claims processing experience
Team leadership and coaching skills
Data analysis and visualization capabilities
The Manager leads a team to develop efficient business processes ensuring successful submission and reconciliation of encounter submissions to Medicaid and Medicare trading partners

Job Summary

  • The Manager leads a team to develop efficient business processes ensuring successful submission and reconciliation of encounter submissions to Medicaid and Medicare trading partners.
  • This role requires analyzing data to meet compliance standards and developing tools to enhance the encounter acceptance rate across multiple partners.
  • Humana offers competitive benefits including medical, dental, vision, 401(k) retirement savings, and paid time off to support whole-person well-being.

Matching Summary

The Manager leads a team to develop efficient business processes ensuring successful submission and reconciliation of encounter submissions to Medicaid and Medicare trading partners.

Salary

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

Skills & Requirements

Must-have

  • Medicare and Medicaid claims processing experience
  • Team leadership and coaching skills
  • Data analysis and visualization capabilities
  • Microsoft Office and Excel proficiency
  • Cross-departmental collaboration experience

Nice-to-have

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

Key Requirements

  • Bachelor's degree in Business, Finance, or related field
  • 3+ years Medicare/Medicaid claims processing or auditing experience
  • 2+ years leadership, coaching, or team management experience
  • Intermediate Excel skills required
  • High-speed DSL or cable modem internet connection

Work Rights

Not specified

Tailored Resume

Cover Letter