Associate VP, Encounters Submissions

Humana

Associate VP leading Medicare encounter submissions operations at Humana. Managing compliance, teamwork, and process optimization in a nationwide remote capacity.

Posted 4/24/2026full-timeRemote • Kentucky • 🇺🇸 United StatesJuniorMid-Level💰 $203,400 - $279,800 per yearWebsite

About the role

Key responsibilities & impact

Ensures encounter data submissions continuously meet or exceed all compliance and operational standards/requirements
Accountable for operational implementation of new Medicaid and D-SNP contracts’ encounters submissions
Partners with Corporate Medicaid to support RFP process for Medicaid state expansions
Leads/influences across all levels of the enterprise to develop and implement a transformational 5-year strategy
Fosters trusted relationships with enterprise partners to ensure end-to-end processes are optimized and communications/escalations occur timely 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 levers for risk mitigation, improved control environment, and cost optimization
Build a strong culture of teamwork, accountability, process improvement and efficiency, and compliance mindset to drive overall team success and engagement

Requirements

What you’ll need

Bachelor's degree
Medicare Advantage/ Medicaid-specific industry knowledge and experience
7+ years of management experience
3+ years of experience managing large-scale operational processes with ambitious compliance standards
Demonstrated outcomes implementing process reengineering, automation, advanced analytics, and technology stacks to achieve operational excellence
Experience optimizing processes via a robust control environment
Enterprise-thinker who can drive innovation outside of silos
Best in class communication skills; ability to educate 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 decisions based on quantitative and qualitative insights
Experience managing critical vendor relationships and standing up new vendor contracts/capabilities

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

process reengineeringautomationadvanced analyticsoperational excellencecompliance standardsvendor managementcontract managementdata submissionrisk mitigationcost optimization

Soft Skills

communication skillsinfluencing skillsteamworkaccountabilityprocess improvementorganizational designtalent developmentdecision makingrelationship buildingstrategic thinking

Certifications

Bachelor's degree