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The Associate Director leads the strategy and implementation of provider onboarding, EMR/EHR connectivity, and medical documentation operations to ensure contract compliance. This role manages teams responsible for provider engagement, documentation workflow adoption, and performance improvement to support continuity of care and claims accuracy.
Key responsibilities include:
· Lead teams responsible for provider recruitment, onboarding, and participation in electronic medical record/electronic health record and medical documentation workflows.
· Oversee the end-to-end medical documentation process to support timely, complete, accurate, and compliant record submission and exchange.
· Develop and execute strategies to improve provider adoption, readiness, and performance related to documentation return requirements and connectivity capabilities.
· Partner with operational, clinical, compliance, claims, process improvement, and technology teams to align provider and documentation processes with contractual and business requirements.
· Monitor documentation compliance, provider performance, and operational trends; implement corrective actions and continuous improvement plans as needed.
· Ensure processes support critical findings communication, continuity of care, referral management, and downstream claims and reimbursement activities.
· Establish and maintain scalable workflows, controls, and standard operating procedures for provider engagement and medical documentation operations.
· Advise leadership on risks, barriers, and opportunities related to provider recruitment, documentation performance, and operational readiness.
Our government contract requires US Citizenship for this position.
Required Qualifications
· Bachelor's degree in healthcare administration, business, operations, health information management, or a related field. Or equivalent professional experience.
· 7+ years of progressive experience in healthcare operations, provider network management, medical documentation, or implementation leadership.
· 3+ years of leadership experience managing teams responsible for provider onboarding, recruitment, medical documentation, or related operational functions.
· Experience working in regulated healthcare environments with responsibility for compliance, documentation timeliness, and operational performance.
· Experience partnering across provider recruitment, operations, clinical, claims, compliance, and technology teams to implement and improve end-to-end processes.
Preferred Qualifications
· Experience supporting government healthcare programs, including VA, TRICARE, Medicare, or Medicaid.
· Experience with provider onboarding and electronic medical record/electronic health record connectivity or documentation exchange workflows.
· Experience leading medical documentation compliance, record return performance, or provider engagement initiatives in a large, multi-state healthcare environment..
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.
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