Payment Integrity Program Development Manager
Devoted HealthSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates should have 2 or more years of experience with encounter data submissions or related Medicaid experience, 2 or more years of project leadership experience, prior demonstrated experience with process improvements, ability to manage multiple tasks and deadlines with attention to detail, excellent communication skills, demonstrated problems solving skills, ability to give direction and make sound business decisions, proven organizational and prioritization skills and ability to collaborate with multiple departments, and comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel. A minimum standard speed of 25x10 (25mpbs download x 10mpbs upload) is required for internet service.
Responsibilities
The Encounter Data Management Lead develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid, ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid, looks for long term improvements of encounter submission processes, advises executives to develop functional strategies on matters of significance, ensures data integrity for claims errors, works on problems of diverse scope and complexity ranging from moderate to substantial, and may require occasional travel to Humana’s offices for training or meetings.
Skills
Encounter Data Submissions
Medicaid
Process Improvements
Data Analysis
Project Leadership
Problem Solving
Communication
Microsoft Office
Humana
Health insurance provider for seniors and military
About Humana
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees