Encounter Data Management Lead

📋 Description

• • As the Encounter Data Management Lead at Humana Inc., you will play a pivotal role in ensuring the integrity and accuracy of encounter data, a critical component of our healthcare services. This position is instrumental in driving the business connection for contract migrations across various systems, ensuring that these complex transitions meet and exceed all business requirements.
• • Your primary responsibility will involve meticulous analysis of data to validate changes, confirm adherence to timelines, and guarantee the successful completion of migrations. You will be tasked with identifying and implementing long-term improvements to our encounter submission processes, aiming for greater efficiency and accuracy.
• • This role requires a strategic mindset, as you will advise executives on functional strategies, often segment-specific, concerning matters of significant importance to the company. You will exercise independent judgment and decision-making on complex issues, operating with minimal supervision and determining the best course of action based on the analysis of variable factors.
• • You will be a key liaison, bridging the gap between business needs and technical execution during system migrations. This involves understanding the intricacies of encounter data, claims processing, and EDI transactions to ensure seamless data flow and accurate reporting.
• • The position demands a proactive approach to problem-solving, with a focus on anticipating potential issues and developing robust solutions. You will be expected to provide clear direction to teams and make sound business decisions that align with Humana's strategic objectives.
• • Collaboration will be a cornerstone of your role, as you will work closely with multiple departments to achieve migration goals and process improvements. Your ability to foster strong working relationships and facilitate cross-functional communication will be essential for success.
• • You will also be responsible for presenting findings, strategies, and project updates to senior leadership, demonstrating a clear understanding of the business impact and technical details involved.
• • This role is ideal for an individual with a strong analytical background, a proven track record in managing complex data projects, and a passion for improving healthcare data processes.
• • You will contribute to Humana's mission of putting health first by ensuring that our data management practices are best-in-class, supporting accurate billing, regulatory compliance, and informed decision-making.
• • The scope of your work will range from moderate to substantial complexity, requiring a deep understanding of encounter data nuances and system interdependencies.
• • You will be a champion for data quality, implementing best practices and driving a culture of accuracy and accountability within the encounter data management function.
• • This role offers the opportunity to make a significant impact on how Humana manages its critical encounter data, directly influencing operational efficiency and strategic planning.
• • You will be expected to stay abreast of industry trends and regulatory changes related to encounter data and claims processing, ensuring Humana remains compliant and competitive.
• • The successful candidate will possess excellent organizational and prioritization skills, enabling them to manage multiple tasks and deadlines effectively in a dynamic environment.
• • Your leadership will be crucial in guiding teams through the complexities of system migrations and process enhancements, ensuring all stakeholders are aligned and informed.
• • This position reports directly to the Director, Encounter Data Management, providing a clear line of communication and strategic alignment.
• • You will leverage your expertise to analyze the effectiveness of current processes and propose innovative solutions for future enhancements.
• • The ability to translate complex data issues into actionable business insights for executive stakeholders is a key aspect of this role.
• • Ultimately, you will be instrumental in ensuring the reliability and accuracy of the data that underpins Humana's healthcare services, contributing to better patient care and operational excellence.