Talent.com
No longer accepting applications
Associate Director, DSNP Encounter Submissions

Associate Director, DSNP Encounter Submissions

HumanaDenton, TX, US
1 day ago
Job type
  • Full-time
Job description

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, Business Intelligence requires a solid understanding of how organization capabilities interrelate across department(s).

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

  • 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 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.

    Create a job alert for this search

    Associate Submission • Denton, TX, US

    Related jobs
    • Promoted
    Donation Center Associate

    Donation Center Associate

    TradeJobsWorkforce75368 Dallas, TX, US
    Full-time
    Bring your energy to the role of Donation Center Associate to assist with organizing, stocking, and general upkeep, work collaboratively across teams and departments, and gain knowledge of company ...Show moreLast updated: 30+ days ago
    • Promoted
    Assistant Regional Director of Clinical Services

    Assistant Regional Director of Clinical Services

    PACSDenton, TX, US
    Temporary
    Infection Control and Disease Prevention Support.This position provides support and education for nursing clinical programs with an emphasis on Infection Control and Disease Prevention.Develop, imp...Show moreLast updated: 1 day ago
    • Promoted
    Admissions Director

    Admissions Director

    TradeJobsWorkForce75379 Dallas, TX, US
    Full-time
    Admissions Director Job Duties : Accomplishes admissions human resource strategies by determining acco...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Director, M365 Global Tenant Leader

    Associate Director, M365 Global Tenant Leader

    RaytheonRichardson, TX, US
    Full-time
    RTX Collaboration Strategy Leader.RTX is looking for a candidate with experience managing an experienced and talented engineering team dedicated to the compliance, development, configuration for al...Show moreLast updated: 1 day ago
    • Promoted
    Center Base Clinical Director - ABA Therapy

    Center Base Clinical Director - ABA Therapy

    Bright achievementsAddison, TX, US
    Full-time
    A leading provider of Applied Behavior Analysis (ABA) therapy dedicated to improving the lives of individuals with autism and related disorders. Our center near Dallas, Texas, offers a support...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Director - ABA Therapy

    Clinical Director - ABA Therapy

    Bright achievementsMcKinney, TX, US
    Full-time
    A leading provider of Applied Behavior Analysis (ABA) therapy dedicated to improving the lives of individuals with autism and related disorders. Our center near Dallas, Texas, offers a support...Show moreLast updated: 30+ days ago
    • Promoted
    Clinic Director

    Clinic Director

    BrightPath BehaviorFlower Mound, TX, United States
    Full-time
    New Clinic Opening! Build your clinical team.Our team is passionate about being part of the positive changes that ABA therapy can bring to our clients, their families, and the community they live i...Show moreLast updated: 1 day ago
    • Promoted
    Direct Care Associate PRN

    Direct Care Associate PRN

    Refuge for WomenDenton, TX, US
    Full-time
    Refuge for Women is a non-profit, faith-based organization providing specialized care for women who have escaped human trafficking or sexual exploitation. With multiple locations across the U.Refuge...Show moreLast updated: 4 days ago
    • Promoted
    Development Director

    Development Director

    TradeJobsWorkForce75326 Dallas, TX, US
    Full-time
    Development Director Job Duties : Implement and execute annual fundraising plan to meet fundraising goals...Show moreLast updated: 30+ days ago
    • Promoted
    Interim Program Director

    Interim Program Director

    Horizon Health CorporationLewisville, TX, US
    Full-time +1
    Interim Program Director of Behavioral Health (PRN) - Nationwide Travel (75% or more).Interim Program Director of Behavioral Health (PRN). Program Director is hired, and hours of work and days are s...Show moreLast updated: 30+ days ago
    Site Director, After School

    Site Director, After School

    AlphaBEST Education, Inc.Wylie, TX, USA
    Full-time
    Quick Apply
    Site Director - After School Program.AlphaBEST : After School is where adventures begin!.AlphaBEST Explorations happen when our Explorers (students) have Guides (Group Leaders) who are dedicated to ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Operations Program Associate

    Operations Program Associate

    Texas Capital BankRichardson, TX, US
    Full-time
    Texas Capital is built to help businesses and their leaders.Our depth of knowledge and expertise allows us to bring the best of the big firms at a scale that works for our clients, with highly expe...Show moreLast updated: 13 hours ago
    Assistant Clinic Director

    Assistant Clinic Director

    IV NutritionMcKinney, TX, US
    Full-time
    Quick Apply
    McKinney, TX Position Type : Full-Time | Leadership Track Reports To : Clinic Director About the Role This is more than a job—it’s the launchpad for a purpose-driven career in functional ...Show moreLast updated: 30+ days ago
    Site Director - After School

    Site Director - After School

    AlphaBEST Education, Inc.Lake Dallas, TX, USA
    Part-time
    Quick Apply
    Site Director - After School Program.Lake Dallas ISD • 2025-2026 • School Year.Schedule : Monday through Friday, 2 : 30 PM - 6 : 30 PM - Part Time. Do you have a passion for learning? Do you desire to ma...Show moreLast updated: 30+ days ago
    Associate Director- MCAT and Advanced Placement Education

    Associate Director- MCAT and Advanced Placement Education

    UWorld, LLCCoppell, TX, US
    Full-time
    Quick Apply
    Are you a collaborative science educator-leader who can turn complex workflows into clear, scalable processes (and make the journey energizing for your team)? If so, we’d love to have you join our ...Show moreLast updated: 3 days ago
    • Promoted
    INTERIM PROGRAM DIRECTOR (PRN) - Nationwide Travel

    INTERIM PROGRAM DIRECTOR (PRN) - Nationwide Travel

    Universal Health Services, Inc.Lewisville, TX, United States
    Full-time +1
    Interim Program Director of Behavioral Health (PRN) - Nationwide Travel (75% or more).Interim Program Director of Behavioral Health (PRN). Program Director is hired, and hours of work and days are s...Show moreLast updated: 30+ days ago
    • Promoted
    Remote Behavioral Medical Director

    Remote Behavioral Medical Director

    HealthCare SupportPlano, TX, United States
    Remote
    Full-time +1
    Monday–Friday schedule, professional collaboration, and the chance to make a meaningful impact by supporting quality behavioral health care across diverse patient populations.Daily Responsibilities...Show moreLast updated: 16 days ago
    • Promoted
    Director of Clinical Services

    Director of Clinical Services

    Universal Health Services, Inc.Denton, TX, United States
    Full-time
    University Behavioral Health of Denton is a private freestanding psychiatric hospital specializing in mental health and chemical dependency care. Serving North Texas and surrounding areas, UBH Dento...Show moreLast updated: 30+ days ago