主任，就诊数据管理
Associate Director, Encounter Data Management
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初级总监，接触数据管理负责制定业务流程，以确保向医疗补助/医疗保险提交并核对接触数据。通过数据分析确保接触数据提交符合或超过所有合规标准，并开发工具以提高医疗补助/医疗保险对接触数据的接受率。寻找接触数据提交流程的长期改进方案。决策通常涉及识别和解决部门内的复杂技术和操作问题，可能需要领导多个经理或高度专业化的专业人员。这是一个远程职位。
初级总监，接触数据管理确保索赔错误的数据完整性。初级总监，接触数据管理需要了解组织能力在部门之间的相互关系。该职位向接触数据管理总监汇报。
用你的技能产生影响
所需资格
- 4年产品管理领导经验
- 2年敏捷领导经验
- 4年人力资源领导或团队管理经验
- 2年项目管理领导经验
优先资格
- 接触数据知识
- 索赔处理知识
居家办公要求：为确保居家或混合办公员工能够有效工作，居家或混合办公员工自备的互联网服务必须满足以下条件：最低下载速度25 Mbps，上传速度10 Mbps；建议使用无线、有线电缆或 DSL 连接。在某些职位中，Humana 推荐的最低互联网速度可能不足以满足业务需求。Humana 保留根据需要要求员工升级互联网服务的权利。在家办公时需在一个专用空间内，避免持续干扰以保护成员的 PHI/HIPAA 信息。出差：虽然这是一个远程职位，但可能需要偶尔前往 Humana 的办公室参加培训或会议。每周计划工作时间
40小时
薪资范围
以下薪资范围反映了发布时全职（每周40小时）雇佣的起始基本工资的良好估计。根据地理位置不同，薪资范围可能更高或更低，个人薪资将根据展示的相关工作技能、知识、经验和教育水平有所不同。
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Become a part of our caring community
The Associate Director, Encounter Data Management 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. Looks for long term improvements of encounter submission processes. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.This is a remote position.
The Associate Director, Encounter Data Management ensures data integrity for claims errors. The Associate Director, Encounter Data Management requires a solid understanding of how organization capabilities interrelate across department(s). This position reports to the Director, Encounter Data Management.
Use your skills to make an impact
Required Qualifications
- 4 years of product management leadership experience
- 2 years of agile leadership experience
- 4 years of people‑leadership or team management experience
- 2 years of project management leadership experience
Preferred Qualifications
- Encounter data knowledge
- Claims processing knowledge
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$104,000 - $143,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Originally posted on Himalayas