Informatics Manager
CVS Health- Full Time
- Junior (1 to 2 years)
The Encounter Data Management Lead develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid. This role ensures encounter submissions meet or exceed all compliance standards through data analysis and develops tools to enhance the encounter acceptance rate by Medicaid, focusing on long-term improvements. The Lead advises executives on functional strategies and exercises independent judgment on complex issues with minimal supervision. This position is responsible for ensuring data integrity for claims errors and works on problems of diverse scope and complexity.
Health insurance provider for seniors and military
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.