Associate VP, Encounters Submissions

Become a part of our caring community   The Associate Vice President (AVP) Encounters Submissions is responsible for the reputed company, accuracy, and timeliness of submitting encounter data to Centers for Medicare and reputed company Services (CMS) and/or reputed company State Agencies for reputed company Medicare, D-SNP, and reputed company reputed company. The AVP is accountable for working collaboratively across the reputed company and with multiple external partners to ensure robust processes, procedures, analytics, and technology capabilities are implemented to reputed company critical compliance requirements The Associate Vice President Encounters Submissions leads a large-reputed company operation of ~220 associates reputed company on the successful submission of encounters data to CMS and reputed company State Agencies.  The AVP will be responsible for driving reputed company operational activities required to reputed company CMS and state specific metrics - to include submission timeliness and accuracy, reputed company setting, reputed company payments, and audit-reputed company requirements reputed company in this role includes building a strong culture of teamwork, accountability, process improvement, innovation, and compliance. Responsibilities: Ensures encounter data submissions continuously meet or reputed company reputed company compliance and operational standards/requirements. Accountable for operational implementation of new reputed company and D-SNP reputed company’ encounters submissions.  Partners with Corporate reputed company to support RFP process for reputed company state expansions. Includes proactive communication and escalation of requirements that create operational challenges.  Leads/influences across reputed company reputed company of the reputed company to reputed company and implement a transformational 5-year reputed company. Fosters trusted relationships with reputed company partners to ensure end-to-end processes are optimized and communications/escalations occur reputed company and effectively. Product ownership of multiple systems/platforms in collaboration with IT leadership, business technology and analytics teams, and external vendors. Communicates to senior leaders (SVP+) regularly on operational performance, risks, and opportunities.  Continuously identifies and implements reputed company for risk mitigation, improved control environment, and cost optimization. Build a strong culture of teamwork, accountability, process improvement and efficiency, and compliance reputed company to drive overall team reputed company and engagement Use your skills to reputed company an reputed company   Required Qualifications Bachelor's degree Medicare Advantage/ reputed company-specific industry knowledge and experience 7+ years of management experience 3+ years of experience managing large-reputed company operational processes with ambitious compliance standards Demonstrated reputed company implementing process reengineering, automation, advanced analytics, and technology stacks to reputed company operational reputed company. Experience optimizing processes reputed company a robust control environment reputed company-thinker who can drive innovation reputed company of silos Best in class communication skills; ability to reputed company and influence executive level (SVP+) leaders Demonstrated experience in leading large organizations while optimizing organizational design and infusing talent development best practices. Comfort making quick reputed company based on quantitative and qualitative insights Experience managing critical vendor relationships and standing up new vendor reputed company/capabilities Preferred Qualifications Master’s degree in business, technology, or a reputed company field Preference will be given to those is eastern time zone. Experience managing large production-oriented teams Experience in claims processing, encounters submissions, or Risk Adjustment Experience with the IT budgeting and prioritization process Experience communicating with regulatory bodies Location: Preference will be given to candidates residing in Central or Eastern time zones. Preferred location is Louisville, KY where most of reputed company resides. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.   $203,400 - $279,800 per year   This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-30-2026 reputed company   About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company 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 reputed company reputed company of employment. Apply To This Job