JobMesh

Associate VP, Encounters Submissions

Humana · US

Become a part of our caring community The Associate Vice President (AVP) Encounters Submissions is responsible for the integrity, accuracy, and timeliness of...

Job description

Become a part of our caring community The Associate Vice President (AVP) Encounters Submissions is responsible for the integrity, accuracy, and timeliness of submitting encounter data to Centers for Medicare and Medicaid Services (CMS) and/or Medicaid State Agencies for all Medicare, D-SNP, and Medicaid contracts. The AVP is accountable for working collaboratively across the enterprise and with multiple external partners to ensure robust processes, procedures, analytics, and technology capabilities are implemented to achieve critical compliance requirements The Associate Vice President Encounters Submissions leads a large-scale operation of ~220 associates focused on the successful submission of encounters data to CMS and Medicaid State Agencies. The AVP will be responsible for driving all operational activities required to achieve CMS and state specific metrics - to include submission timeliness and accuracy, rate setting, kick payments, and audit-related requirements Success in this role includes building a strong culture of teamwork, accountability, process improvement, innovation, and compliance. Responsibilities: Use your skills to make an impact - Ensures encounter data submi...