Associate Director, EMR/EHR Provider Recruitment and Medical Docs

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This position is created specifically to assist with Humana's efforts to secure and, if awarded, transition into a new business opportunity. Please note that continued employment in this role is expressly contingent upon Humana's receipt of the business opportunity and a satisfactory transition into the work. In the event Humana does not pursue the opportunity or determines that a timely and satisfactory transition cannot be achieved, employment may be subject to termination.
The Associate Director, EMR/EHR Provider Recruitment and Medical Documentation is responsible for leading the strategy, implementation, and ongoing performance of provider onboarding, electronic medical record/electronic health record connectivity, and medical documentation operations in support of the VA contract. This role oversees teams responsible for recruiting and enabling provider participation in documentation exchange workflows, supporting document submission readiness, and ensuring medical documentation processes are compliant, timely, complete, and operationally sustainable.
This leader is accountable for establishing and optimizing the end-to-end operating model for provider participation in medical documentation exchange, including onboarding new providers and practices, supporting documentation workflow adoption, and improving submission, retrieval, indexing, and compliance performance. The role ensures providers are prepared to meet requirements for documentation completeness, authentication, critical findings communication, and timely return of records.
The Associate Director partners closely with provider recruitment, operations, clinical, claims, process improvement, compliance, reporting, and technology teams to align provider engagement strategies and documentation workflows with contractual obligations, care coordination needs, and service delivery expectations. This role also helps ensure that documentation-related processes support continuity of care, referral management, claims adjudication, and audit readiness.
This position provides leadership for teams responsible for provider recruitment and engagement related to documentation participation, as well as teams supporting medical documentation processes, controls, issue resolution, and performance improvement. The Associate Director is expected to identify risks, remove barriers to provider adoption, improve operational consistency, and drive measurable improvements in documentation return compliance and overall provider readiness.
The role exercises a high degree of independent judgment in managing complex operational, provider, and documentation issues and works with minimal supervision to determine priorities, methods, and solutions that support contract performance and organizational goals.

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.

Use your skills to make an impact

Required Qualifications

• Our Department of Defense Contract requires U.S. citizenship for this position·
• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service)·
• HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.
• 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..

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay 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.$126,300 - $173,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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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.