Encounter Data Management Lead

Encounter Data Management Lead

Empresa: Humana. Become a part of our caring community The Encounter Data Management Lead is responsible for leading AI-driven reconciliation and automation efforts to improve encounter data quality and reduce manual work. In this role, you will own the performance and continuous improvement of AI models used in reconciliation processes. You’ll work across business and technical teams to identify opportunities, optimize outcomes, and scale automation solutions. This role requires strong experience applying AI in real-world environments, along with the ability to translate data insights into operational improvements. You will report to the Associate Director, Encounter Data Management. Key Responsibilities : - Lead initiatives that use AI and automation to improve encounter data accuracy and efficiency - Monitor and evaluate AI model performance, including reconciliation rates, error trends, and data quality outcomes - Identify gaps and partner with technical teams to enhance models and improve results - Analyze complex data issues and use AI-driven insights to determine root causes and solutions - Collaborate with business and technical partners to prioritize enhancements and automation opportunities - Communicate AI performance, risks, and progress to stakeholders in a clear, actionable way - Maintain and prioritize a roadmap of AI improvements, backlog items, and automation initiatives - Work independently to solve complex problems and make decisions based on data and business impact Use your skills to make an impact Required Qualifications - 4+ years of experience working with AI or machine learning models, including monitoring and improving model performance - 4+ years of experience working in a healthcare environment - 2+ years of project or program leadership experience - Experience using data to identify trends, solve problems, and improve processes - Ability to work across teams and communicate technical concepts to non-technical audiences Preferred Qualifi