Senior Encounter Data Management Professional

Welcome to Humana – where we believe in making a positive impact in the lives of our members and communities. As a Senior Encounter Data Management Professional, you will play a crucial role in ensuring the accuracy and integrity of encounter data, a vital component in our mission to provide quality and affordable healthcare to our members. We are seeking an experienced and detail-oriented individual who is passionate about data management and has a strong understanding of the healthcare industry. If you are looking for a challenging yet rewarding career opportunity, we welcome you to join our team.

1. Manage and oversee the accuracy and integrity of encounter data for Humana, ensuring compliance with all regulatory and contractual requirements.
2. Develop and implement efficient processes for the collection, validation, and reporting of encounter data.
3. Collaborate with cross-functional teams to identify and resolve data discrepancies and ensure timely and accurate submission of data.
4. Monitor and analyze encounter data trends and identify areas for improvement, making recommendations for process enhancements.
5. Act as a subject matter expert on encounter data, staying up-to-date on industry regulations and best practices.
6. Train and mentor team members on encounter data management processes and procedures.
7. Proactively identify potential issues and risks related to encounter data and take appropriate action to mitigate them.
8. Communicate effectively with internal and external stakeholders, including providers, to resolve encounter data-related inquiries and issues.
9. Contribute to the development and implementation of new encounter data-related policies and procedures.
10. Participate in audits and other quality assurance activities to ensure the accuracy and completeness of encounter data.
11. Maintain documentation and records related to encounter data management activities.
12. Continuously strive to improve encounter data processes and systems to increase efficiency and accuracy.
13. Adhere to all data privacy and security protocols and regulations.
14. Keep abreast of industry developments and advancements in encounter data management and make recommendations for their implementation.
15. Uphold Humana's mission and values in all encounter data management activities.

According to JobzMall, the average salary range for a Senior Encounter Data Management Professional in Texas, USA is between $80,000 to $120,000 per year. This can vary depending on factors such as experience, location, and the specific company or organization one is working for.

Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.