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Humana Data Management Featured Post

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Humana Data Management Featured Post

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by Rat Race Rebellion       March 11, 2026

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About Humana

Humana Inc. is a leading health and well-being company committed to helping millions of people achieve their best health by providing insurance services and healthcare solutions. With a focus on delivering care and service when needed, Humana serves a wide range of individuals, including those with Medicare and Medicaid. We strive to improve quality of life through our dedicated efforts.

Humana offers a full-time, remote opportunity for an Encounter Data Management Professional. This role allows for flexibility as you work from anywhere in the U.S., with occasional travel to Humana’s offices for training or meetings. The position requires a 40-hour work week, ensuring a balanced professional schedule.

What Your Day Will Look Like

As an Encounter Data Management Professional, you will be responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare. Your day will involve analyzing data, developing business processes, and creating tools to enhance encounter acceptance rates. You will work independently, setting priorities and making decisions while collaborating with various departments to reduce errors and improve processes.

Responsibilities & Expectations

  • Develop Business Processes: Create efficient methods for submitting and reconciling encounter data to Medicaid/Medicare
  • Ensure Compliance: Analyze data to ensure all submissions meet compliance standards
  • Enhance Acceptance Rates: Develop tools to improve encounter acceptance rates
  • Collaborate with Departments: Work with various departments to identify and reduce errors
  • Identify Complex Errors: Use data analysis to identify and resolve issues in the encounter process

Relevant Experience & Skills Required

  • Education Requirements: Bachelor’s degree or 2 years of medical claims experience required
  • Analytical Skills: Strong critical thinking and problem-solving abilities
  • Communication Skills: Excellent verbal and written communication skills
  • Technical Proficiency: Comprehensive knowledge of Microsoft Office applications
  • Healthcare Knowledge: Understanding of healthcare encounter data and claims processes

Compensation & Benefits

The estimated compensation for this role is $59,300 – $80,900/yr. based on experience.

💡 Not the right fit? Check out these related roles:

Before You Apply: Resume Tips for this ATS

Because you are applying directly through the employer’s Applicant Tracking System, your resume needs to be optimized for their software:

  • Make sure the words “Encounter Data Management,” “Medicaid/Medicare,” and “Compliance Standards” appear in your past experience if applicable.
  • Highlight any specific experience you have with Microsoft SQL or SAS.
  • Ensure your resume clearly states that you are looking for Full-Time work, so the recruiter knows you are aligned with the role.

HOW TO APPLY

Apply on Humana Job Page

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