Talent.com
Associate Director, DSNP Encounter Submissions
Associate Director, DSNP Encounter SubmissionsMissouri Staffing • Jefferson City, MO, US
Associate Director, DSNP Encounter Submissions

Associate Director, DSNP Encounter Submissions

Missouri Staffing • Jefferson City, MO, US
Hace 3 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Associate Director, Business Intelligence

Become a part of our caring community and help us put health first. The Associate Director, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Associate Director, DSNP Encounter Data management will identify and analyze inventory and will ensure encounter submissions meet or exceed all compliance standards via analysis of data, and develop tools to enhance the encounter acceptance rates. This role will work on strategic initiatives and will need to solve problems of diverse scope and complexity ranging from moderate to substantial. This role will utilize various tools, technologies, applications, and data resources. The role will lead a team of up to approx. 7-9 direct associates.

Key Responsibilities include :

  • Lead and develop a team focused on strategic understanding encounter workflow, execute inventory management of encounters submissions & deliver key performance indicators.
  • Implement new DSNP states for encounter submissions including policy and procedures and key performance indicators.
  • Champion increased operational efficiency by driving process improvements.
  • Build strong relationships and influence across all levels of the organization, from frontline to executive leadership.

Use your skills to make an impact

Required Qualifications :

  • 3+ years of technical experience in CAS, 835 / 837, encounters submissions, or data analysis and intelligence.
  • 3+ years of experience in leading, operational setting, and developing high-performing teams.
  • Proven ability to create and present story-driven analytics presentations.
  • Knowledge of process improvement and development of metrics.
  • Creative and proactive in managing large initiatives.
  • Experienced in leading change and inspiring organizational performance during transformation.
  • Excellent oral and written communication skills, with executive presence.
  • Collaborative mindset and relationship-building skills with diverse stakeholders.
  • Preferred Qualifications :

  • Bachelor's degree
  • Advanced degree or MBA
  • Proficient in advanced analytics, Python, and other statistical software.
  • Experienced working in an SQL environment with comprehensive knowledge of SSMS.
  • Experience with Cloud Technologies (Azure Synapse Analytics), Databricks, and Power Platform (Power BI, Power Automate, Power Apps).
  • Comprehensive knowledge of EDI formats : X12, 834, 835, 837, 270 / 271, 276 / 277, 278
  • Additional Information :

    Work-At-Home 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 25x10 (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
  • 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. $129,300 - $177,800 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 : 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

    Application Deadline : 12-18-2025

    About Us : Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell 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, Medicaid, families, individuals, military service personnel, and communities at large.

    Equal Opportunity Employer : It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https : / / www.humana.com / legal / accessibility-resources?source=Humana_Website.

    Crear una alerta de empleo para esta búsqueda

    Associate Submission • Jefferson City, MO, US

    Ofertas relacionadas
    Academic PMR Inpatient Rehabilitation Services Medical Director (NTT) - Jefferson City, Missouri

    Academic PMR Inpatient Rehabilitation Services Medical Director (NTT) - Jefferson City, Missouri

    University of Missouri Healthcare • Jefferson City, MO, US
    A tiempo completo
    The Department of Physical Medicine & Rehabilitation at the University of Missouri School of Medicine is seeking a dynamic and dedicated individual for the position of Assistant / Associate / Full Prof...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Medical Director of Outpatient Rehabilitation Services - Jefferson City, Missouri (NTT)

    Medical Director of Outpatient Rehabilitation Services - Jefferson City, Missouri (NTT)

    University of Missouri Healthcare • Jefferson City, MO, US
    A tiempo completo
    The Department of Physical Medicine & Rehabilitation at the University of Missouri School of Medicine is inviting applications for the position of Assistant / Associate / Full Professor of PM&R (Non-Te...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Associate Medical Director - Physician - Student Health Center

    Associate Medical Director - Physician - Student Health Center

    University of Missouri • Columbia, MO, United States
    A tiempo completo
    The Student Health Center (SHC) is seeking a full-time Family Practice or Internal Medicine Physician to join our team.The SHC is a part of the Student Health and Well-Being (SHWB) within the Divis...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Extension Associate - IPM

    Extension Associate - IPM

    Lincoln University of Missouri • Jefferson City, MO, USA
    A tiempo completo
    Quick Apply
    The Extension Associate position will provide support to the State Specialist-Integrated Pest.Management (IPM), in the delivery and strengthening of statewide farmer-focused IPM program in.This pos...Mostrar más
    Última actualización: hace más de 30 días
    Associate Director, Compliance

    Associate Director, Compliance

    Missouri Staffing • Jefferson City, MO, US
    A tiempo completo
    Associate Director Of Compliance.The Associate Director of Compliance will report to the Large Molecule Regional Quality Lead, Americas. The responsibility of this position is across all Animal Heal...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Associate Director of Nuclear External Relations

    Associate Director of Nuclear External Relations

    Government Jobs • Columbia, MO, US
    A tiempo completo
    Associate Director Of Nuclear External Relations.A life-saving operation in the middle of America serving the nation and the world, the MURR needs you to help guide its future.MURR is expanding its...Mostrar más
    Última actualización: hace 28 días • Oferta promocionada
    Director, HTA, Value & Evidence (HV&E), Solid Tumors

    Director, HTA, Value & Evidence (HV&E), Solid Tumors

    Missouri Staffing • Jefferson City, MO, US
    A tiempo completo
    The Director, HV&E, Solid Tumors will support the strategic goals of the Oncology Division by driving optimal patient access for our medicines. This role directly impacts the ability to achieve busi...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    VP, PEOPLE

    VP, PEOPLE

    Scripps Research Translational Institute • California, Missouri, US
    A tiempo completo
    Scripps Research is a nonprofit biomedical institute ranked as one of the most influential in the world for its impact on innovation. We celebrated our 100-year legacy in 2024.This significant miles...Mostrar más
    Última actualización: hace 27 días • Oferta promocionada
    Assistant Director of Admissions

    Assistant Director of Admissions

    Acadia Healthcare • Columbia, MO, US
    A tiempo completo
    Join our team at CenterPointe Columbia as an Assistant Admissions Director!.CenterPointe Hospital of Columbia is a psychiatric hospital that provides life-changing care for children, adolescents, a...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Relationship Sexual Violence Prevention Project Director (RSVP)

    Relationship Sexual Violence Prevention Project Director (RSVP)

    Lincoln University of Missouri • Jefferson City, MO, USA
    A tiempo completo
    Quick Apply
    Lincoln University-Missouri has been awarded a three-year grant from the U.Department of Justice Office on Violence Against Women (OVW) Grants to Reduce Domestic Violence, Dating Violence, Sexual A...Mostrar más
    Última actualización: hace más de 30 días
    Program Director

    Program Director

    Beacon Specialized Living • Columbia, Missouri, US
    A tiempo completo
    Position Summary : The Program Director oversees assigned Beacon locations to ensure that company goals, budgets, and clinical effectiveness targets are met. They support Care Team Managers by ensuri...Mostrar más
    Última actualización: hace 24 días • Oferta promocionada
    Remote Medical Director

    Remote Medical Director

    Centene Corporation • Jefferson City, MO, US
    Teletrabajo
    A tiempo completo +1
    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offe...Mostrar más
    Última actualización: hace 4 días • Oferta promocionada
    Senior Director, People

    Senior Director, People

    Missouri Staffing • Jefferson City, MO, US
    A tiempo completo
    At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no ma...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Senior Director, Safety Assessment

    Senior Director, Safety Assessment

    Altasciences • Columbia, MO, US
    A tiempo completo
    Senior Director, Safety Assessment.At Altasciences we all move in unison to assist and work in the discovery, development, and manufacturing of new drug therapies to get them faster to people who n...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Behavioral Health Associate 1

    Behavioral Health Associate 1

    Acadia Healthcare • Columbia, MO, US
    A tiempo completo
    Job Opportunity At CenterPointe Hospital Of Columbia.CenterPointe Hospital Of Columbia, located in Columbia, Missouri, is the preferred provider of acute inpatient and outpatient treatment for adol...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Assistant / Associate Professor - BSN Program

    Assistant / Associate Professor - BSN Program

    Lincoln University of Missouri • Jefferson City, MO, US
    A tiempo completo
    This Full-time Tenure track position is available in the BSN Program.Teaching undergraduate courses in the School of Nursing. Lincoln University faculty are expected to also advise and mentor studen...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Associate Director, Regulatory Affairs (Oncology)

    Associate Director, Regulatory Affairs (Oncology)

    Missouri Staffing • Jefferson City, MO, US
    A tiempo completo
    Associate Director, Regulatory Affairs (Oncology).Japan with operations in the U.With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to acce...Mostrar más
    Última actualización: hace 3 días • Oferta promocionada
    Postdoctoral Research Associate

    Postdoctoral Research Associate

    Lincoln University of Missouri • Jefferson City, MO, USA
    A tiempo completo
    Quick Apply
    The Postdoctoral Research Associate will contribute to the research and implementation of a Climate-Smart Productive Alley Cropping System (PACS) at Lincoln University.This role focuses on enh...Mostrar más
    Última actualización: hace más de 30 días