Supervisor, Encounter Data Management

** Become a part of our caring community*
* ** This is a remote position.*
* The Supervisor, Encounter Data Management 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 develop tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Makes decisions related to schedules, plans, and daily operations.

Handles escalated and complex issues, supervises a team of support and technical associates, and provides day-to-day guidance and oversight.

Ensures consistency in execution across team. Holds team members accountable for following established policies. You will report to the Manager, Encounter Data Management.

** Performance*
* + Demonstrated; ability to give direction and guidance

+ Proven and ability to collaborate with multiple departments

+ Deliver presentations to senior leadership

** Use your skills to make an impact*
* ** Required Qualifications*
* + 2+ years Medicare and/or Medicaid claims processing experience

+ Internal and external error claim processing

+ 2+ years of formal or informal leadership experience

+ 1+ years' experience working in CAS, Edifecs, Optum and similar DOS 835/837 warehouse systems

+ 2 years+ of advanced Microsoft Excel (VLOOKUP, Pivot Tables and ability to create macros)

+ 1 year+ SQL experience (running queries)

** Preferred Qualifications*
* + Bachelor's Degree.

+ 1+ years' experience in encounter submissions background.

+ Certification in Six Sigma or Project Management

+ Prior Experience in healthcare or insurance setting

Work at Home Requirements:
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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

** Scheduled Weekly Hours*
* 40

** Pay Range*
* The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$65,000 - $88,600 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

** Description of Benefits*
* Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Final date to receive applications: 08-26-2026

** About us*
* About Humana:
Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our Center Well 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 and Medicaid, families, individuals, military service personnel,…