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 errorsWorks assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factorsLooks for long term improvements of encounter submission processesBegins to influence department's strategyMakes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without directionExercises considerable latitude in determining objectives and approaches to assignments

　　Required Qualifications

　　Must reside in OklahomaBachelor's degree in Business, Finance, Operations or other related fields5 or more years of encounter data management experiencePrior experience in a fast paced insurance or health care settingAbility to manage multiple tasks and deadlines with attention to detailExcellent communication skillsSelf-starter, ability to work independentlyAbility to manage multiple priorities simultaneouslyComprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and ExcelMust be passionate about contributing to an organization focused on continuously improving consumer experiences

　　Preferred Qualifications

　　Master's Degree in Business Administration or a related fieldPrior demonstrated experience with project managementPrior experience with Medicare and Medicaid programsSix Sigma certification a plus

　　Additional Information

　　About Humana

　　Your growth is what drives Humana forward.

　　When you get here, the journey is just beginning. Our leaders are committed to understanding what you need to grow. Because we don't grow without youThis is a place where our nurses influence the C-suite.Where software engineers change lives. Where every associate can build a professional path where they learn and thrive. Through our commitments to wellbeing and work-life balance, we support each associate's personal health, purpose, work style, sense of belonging, and security. Because finding new ways to put health first-for our members and patients and our associates alike-is what we do.

　　Work at Home Guidance

　　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 recommended; wireless, wired cable or DSL connection is suggested

　　Satellite, cellular and microwave connection can be used only if approved by leadership

　　Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

　　Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

　　Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

　　Interview Format

　　As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

　　Scheduled Weekly Hours

　　40

　　Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

　　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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.