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Senior Encounter Data Manager


*Become a part of our caring community and help us put health first.*

*Humana Healthy Horizons* in Oklahoma is seeking a Senior Encounter Data Management Professional who 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.

You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company. We’re proud of our Louisville roots and, as we’ve grown, that community feeling has spread across all 50 states and Puerto Rico. No matter where you are—whether you’re working from home, from the field, from our offices, or from somewhere in between—you’ll feel welcome here. We’re a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone’s voice is heard and respected. Community is a verb here. It’s up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.

Are you Caring, Curious and Committed? If so, apply today!

The Senior Encounter Data Management Professional:
* Ensures data integrity for claims errors.
* Works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
* Looks for long term improvements of encounter submission processes.
* Begins to influence department’s strategy.
* Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
* Exercises considerable latitude in determining objectives and approaches to assignments.

*Use your skills to make an impact.*

*Required Qualifications*
* *Must reside in Oklahoma.*
* Bachelor’s degree in business, Finance, Operations or other related fields
* 5 or more years of encounter data management experience
* Prior experience in a fast paced insurance or health care setting
* Ability to manage multiple tasks and deadlines with attention to detail
* Excellent communication skills
* Self-starter, ability to work independently
* Ability to manage multiple priorities simultaneously
* Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences

*Preferred Qualifications*
* Master’s Degree in Business Administration or a related field
* Prior demonstrated experience with project management
* Prior experience with Medicare and Medicaid programs
* Six Sigma certification a plus

_*(R-325124/MichaelH)*_

Job Type: Full-time

Pay: $69,800.00 – $96,200.00 per year

Benefits:
* Dental insurance
* Health insurance
* Life insurance
* Tuition reimbursement
* Vision insurance
Schedule:
* 8 hour shift
* Day shift
* Monday to Friday

Application Question(s):
* You MUST live in OKLAHOMA. Do you live in Oklahoma? Yes or No
* Have you ever worked for Humana, CenterWell, or Enclara? Yes or No

Education:
* Bachelor’s (Required)

Experience:
* Encounter data management: 5 years (Required)
* Insurance or Health care: 5 years (Required)
* Project Management: 5 years (Preferred)
* Medicare and Medicaid: 5 years (Preferred)

Work Location: Remote



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