Supervisor Health Information Management

Position Overview

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.

Location: Humana Waterfront facility in Louisville, KY (temporarily working remote)

Schedule: 40 Weekly Hours

Key Responsibilities

• Ensures data integrity for medical claims transactions.
• Works within prescribed guidelines and procedures, using independent judgment and collaborating with management and specialists in selecting methods and techniques.
• Supervises a group of 10-15 technical associates by coordinating and providing day-to-day oversight, and holds team members accountable for following established policies.
• Assists in developing business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare.
• Ensures encounter submissions meet or exceed all compliance standards by analyzing data and developing tools to enhance the acceptance rate.
• Identifies long-term improvements in the encounter submission processes.
• Performs escalated or more complex work as required.

Required Qualifications

• 1 year direct OR indirect leadership experience
• Experience with analyzing and visualizing large data sets and presenting information to leaders
• Ability to manage multiple tasks and deadlines with attention to detail
• Self-starter with the ability to work independently
• Comprehensive knowledge of Microsoft Office applications including Word, PowerPoint, Outlook, and Excel
• Excellent written and verbal communication skills
• Passion for contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Bachelor's degree
• CAS Auditing, Claims Adjudication, or other Payer Platform Experience
• Supervisory experience, having direct reports
• Prior experience in a fast-paced insurance or healthcare setting
• Prior demonstrated experience with project management
• Prior experience with Medicare and Medicaid programs