Associate Director, Encounter Data Management

Become a part of our caring community and help us put health first
 

The Associate Director, Encounter Data Management for Medicare will oversee all the system and business development, testing and integration for the related contracts. They will oversee multiple system enhancements and issues resolution happening in parallel, Must be able to look for long term improvements of encounter submission processes and make system changes more efficient. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.

The Associate Director, Encounter Data Management for Medicare will oversee product management for all related contracts.  This role will set direction for when and how the system enhancements will move forward.  Work with the team to pivot as new contracts are on board and new directions are needed to benefit the company.  The leader will oversee the team managing the entire product management life cycle for the migrations.  The leader will be responsible for doing ongoing readouts to upper leadership on the progress of key system enhancements and roadmaps of future changes.  The leader will also be responsible for identifying key improvements to the systems that are needed to make the system enhancements more efficient and more desirable to the contracts.  This position reports to the Director, Encounter Data Submissions.

Responsibilities:

• Ability to operate under tight deadlines
• 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

Use your skills to make an impact
 

Required Qualifications

• Bachelor's Degree or 4 or more years working in a product management role
• 2 or more years of leadership experience
• 2 or more years of project management
• Documented experience working with agile teams
• 2 or more years oversight of user acceptance testing

 

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

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.

 

$104,000 - $143,000 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: 04-03-2026

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.

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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.