Humana Looking For Supervisor, Health Information Management at Louisville, KY Full Time

The Supervisor, Health Information Management ensures data integrity for claims errors. The Supervisor, Health Information Management works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach.

Responsibilities

The Supervisor, Health Information 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 develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Decisions are typically are related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies.

Required Qualifications

Bachelor’s Degree

4 – 6 years of related experience to include claims and Medicare

Prior experience leading a team

Prior demonstrated experience with process improvements

Ability to manage multiple tasks and deadlines with attention to detail

Excellent communication skills

Demonstrated problems solving skills; ability to give direction and make sound business decisions

Proven organizational and prioritization skills and ability to collaborate with multiple departments

Ability to deliver presentations to senior leadership

Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Preferred Qualifications

Master’s Degree in Business Administration or a related field

Certification in Six Sigma or Project Management

Prior Experience in healthcare or insurance setting

Additional Information

This is a hybrid position (Waterfront Plaza and Remote, KY)

Work-At-Home Requirements

WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40