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hace 2 semanas
The Manager, Encounter Data Management plays a critical role in Humana's efforts to deliver high-quality healthcare services. This position is responsible for developing business processes to ensure successful submission and reconciliation of encounter data to Medicaid/Medicare. Ensuring compliance with regulatory standards is paramount.
Responsibilities
- Develop and implement efficient business processes for error corrections.
- Collaborate with cross-functional teams to enhance encounter acceptance rates.
- Analyze data to identify trends and areas for improvement.
Requirements
- Bachelor's degree in Business, Finance, or related field, or 3+ years of experience in Medicare and/or Medicaid claims processing or auditing.
- 2+ years of leadership, coaching, and/or team leadership experience.
- Demonstrated problem-solving skills and ability to make sound business decisions.
- Excellent communication and presentation skills.