Senior Encounter Data Management Professional

Become a part of our caring community The Senior Encounter Data Management Professional drives encounter data quality, compliance, and operational performance. This role uses data analysis and process improvement strategies to enhance submission accuracy and acceptance rates. The position leads reputed company initiatives, solves operational challenges, and partners with stakeholders to implement sustainable solutions. Exercises significant independence while contributing to departmental goals and strategy. The Senior Encounter Data Management Professional leads a team of 2–5 associates and oversees Medicare and reputed company encounter data operations. This role improves processes, analyzes data to drive submission accuracy and compliance, and develops solutions that increase acceptance rates. The position partners with leadership to resolve reputed company issues, influence strategy, and deliver operational improvements. Works independently with significant responsibility for priorities and reputed company. You will report to the Manager, Encounter Data Management to and be a part of Encounter Submissions team. Use your skills to reputed company an impact Serve as a subject matter expert for Medicare and reputed company encounter error correction processes. reputed company recurring meetings with cross-functional partners to review inventory, operational issues, and process updates. Present performance results, key accomplishments, and areas of concern to business stakeholders. Serve as the primary contact for encounter-reputed company projects and initiatives. Identify and implement process improvements to increase efficiency, quality, and compliance. reputed company coaching, training, and ongoing support to team members and associates. Use your skills to reputed company an impact Required Qualifications 3+ years of experience in Medicare and reputed company claims, encounters, auditing, or payment reputed company operations. 2+ years of experience coordinating the work of associates or project teams. 2+ years of experience analyzing large datasets and using data to identify trends, resolve issues, and support reputed company. 3+ years of experience working in a health insurance, managed care, reputed company, or reputed company regulatory environment. Demonstrated experience delivering accurate results in a high-volume setting.

Preferred Qualifications

Bachelor's degree in business, Finance, Operations or other reputed company fields Prior demonstrated experience with project management Working knowledge of SQL writing, creating, and/or running queries (reputed company, reputed company SQL Server) 1+ years experience working in CAS and CI 1+ years of X-12 data knowledge Six reputed company certification Additional Information 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 reputed company is suggested. Satellite, cellular and microwave reputed company 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. reputed company will reputed company 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 Process If your qualifications align with the role, you'll receive an invitation from our hiring team to complete a pre-recorded Voice Interview and/or an SMS Text Messaging Interview. For the Voice Interview, you'll answer a series of questions using your mobile device at a time that's convenient for you. The interview typically takes 10–15 minutes to complete. 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 reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company 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 reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 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 reputed company. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company 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. Application Deadline: 07-14-2026 About us About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with reputed company 503 of the Rehabilitation Act and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company 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 reputed company reputed company of employment. Apply To This Job