Jessica Caummisar
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Jessica Caummisar Email & Phone Number

Encounter Data Management Lead at Humana
Location: Louisville Metropolitan Area, United States, United States 7 work roles 2 schools
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Current company
Humana
Role
Encounter Data Management Lead
Location
Louisville Metropolitan Area, United States, United States
Company size
45742 employees

Who is Jessica Caummisar? Overview

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Jessica Caummisar is listed as Encounter Data Management Lead at Humana, a company with 45742 employees, based in Louisville Metropolitan Area, United States, United States. AeroLeads shows a matched LinkedIn profile for Jessica Caummisar.

Jessica Caummisar previously worked as Senior Process Improvement Professional at Humana and Senior Plan Build Professional at Humana. Jessica Caummisar holds Bachelor Of Science In Interdisciplinary Studies: Computer Information Technology And Management from Sullivan University.

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Humana

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Profile bio

About Jessica Caummisar

With over five years at Humana with progressive career advancements, I've sharpened my expertise in business process improvements, program implementations and engaged leadership. At the heart of my mission lies a commitment to operational excellence, particularly within Medicaid & Medicare services. My role at Humana allows me to merge my Lean Six Sigma credentials with a passion for driving efficiency and maximizing capabilities of my team with a growth and development leadership-style base. By adopting and promoting best practices, I strive to contribute to our organization's culture of continuous improvement and customer-centric solutions.Most recently, my focus as a Senior Process Improvement Professional has been on enhancing Medicaid Plan Building through rigorous readiness reviews and multi-state provider testings. My ability to manage complex business challenges and communicate effectively with diverse audiences has been instrumental in improving processes for increased productivity and reduced FTE’s. By analyzing data, identifying manual processes, and providing expert recommendations, I've played a pivotal role in advancing Humana's commitment to accuracy in medical benefit administration and claims payment.

Current workplace

Jessica Caummisar's current company

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Humana
Humana
Encounter Data Management Lead
Louisville, KY, US
Website
humana.com
Employees
45742
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Company profile
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7 roles

Jessica Caummisar work experience

A career timeline built from the work history available for this profile.

Encounter Data Management Lead

Humana

Louisville, KY, US

Senior Process Improvement Professional

Current
Humana

Louisville, Kentucky, United States

  • Senior Medicaid Subject Matter Expert with multi-state implementations, readiness reviews and provider testings.
  • Improve and develop processes to increase efficiencies and utilize full capabilities.
  • Manage complicated business challenges: developing understanding, distilling and communicating that understanding to technical and non-technical audiences of leaders, other professionals and clients.
  • Research best business practices within and outside the organization to establish benchmark data for Medicaid and Medicare Plan Building.
  • Collect and analyze process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity and reduced cost.
  • Determine how new information technologies can support reengineering business processes.
Jul 2024 - Present

Senior Plan Build Professional

Humana

United States

  • Plan Build Subject Matter expert
  • Strategically lead and collaborate with business partners and clients to discuss medical benefits and what our Claims System (CAS) can administer to ensure claims payment accuracy.
  • Identify manual processes and supply alternative/ recommendations for our clients.
  • Review and approve Pre-Sale Qualification (PSQ) and After-Sale Qualification (ASQ) and evaluate clients request for CAS custom benefits.
  • Evaluate and analyze potential impacts for build configuration projects.
  • Analyze need for CAS system enhancements, determine Business requirements and major features.
Dec 2023 - Jul 2024

Plan Build Supervisor

Humana

United States

  • Hire, onboard, support, train, develop associates by offering consistent day to day supervisory guidance.
  • Create positive working environment focusing on employee growth and well-being.
  • Analyze and maintain required changes for new/existing health plans driven by market product design, legislative and regulatory needs.
  • Determines required system changes to support new products, services, or efficiencies through design, test and implementation stages.
  • Ensures that the Plan Load team adheres to all compliance and audit processes.
  • ControliQ certificate holder in ActiveOps data management, planning/forecasting staffing model.
Mar 2021 - Dec 2023

Humana Plan Build Professional 2

Humana

Louisville, Kentucky, United States

  • Provided professional support to the Plan Load team and related business areas by assigning and appending inventory, compiling daily inventory reports, exporting claims for pend data analysis, resolving workflow issues.
  • Successfully initiated changes to reduce pend work and compliance issues, all while continuously researching problems and determining solutions to implement in regards to claims sent to Plan Load.
  • As the Medicaid SME, I participated in the testing of the new South Carolina product, loaded the plan, analyzed plan revisions, consulted on how to implement product changes by determining required system changes and.
  • Developed essential working relationships across multiple areas by collaborating with Claims supervisors in pend reduction efforts, consulting with CPO on mentor documentation recommendations and assisting Product by.
Feb 2020 - Mar 2021

Plan Build Representative

Humana

Louisville, Kentucky, United States

  • Medicare Plan Loader/Representative.
  • ​2020 Star Award Recipient.
  • 2020 Exceptional Performance Rating. ​
  • Recognized for demonstrating logic and reasoning skills; utilizing available technology and tools to make loading faster and more efficient; and suggesting process improvements.​
  • Identified and shared with Leadership ways that allows for faster loading of like plans.​
  • Created CAS Plan Load Capabilities Publisher document set-up.​
Jun 2019 - Feb 2020

Scales Administrator Trainer/Lead

Ups

Louisville, Kentucky, United States

  • Train newly hired employees on scales systems, computer systems, UPSERS and Microsoft SharePoint websites.
  • Input accurate weight data entries; digitized container information into UPS computerized weighing system; and worked directly with the management team and load-planning personnel to ensure compliance with weight and.
May 2006 - Feb 2018
Team & coworkers

Colleagues at Humana

Other employees you can reach at humana.com. View company contacts for 45742 employees →

MZ Matt Zimmerman Matt Zimmerman Colleague at HumanaSarasota, Florida, United States, United States View → DG Dawn Glass Dawn Glass Colleague at HumanaCorydon, Indiana, United States, United States View → JA Jessica Alcaraz Jessica Alcaraz Colleague at HumanaSequim, Washington, United States, United States View → TM Tammy Morris Tammy Morris Colleague at HumanaKingsport, Tennessee, United States, United States View → TP Tamas Polyak Tamas Polyak Colleague at HumanaStuttgart Region, Germany View → NG Nico Grados Nico Grados Colleague at HumanaParis, Île-de-France, France, France View → MS Masarath Sultana Masarath Sultana Colleague at HumanaAustin, Texas, United States, United States View → AC Angela Chatten Angela Chatten Colleague at HumanaPlano, Texas, United States, United States View → RW Richard Waters Richard Waters Colleague at HumanaNew York City Metropolitan Area, United States View → JE Jane Ellis Jane Ellis Colleague at HumanaLouisville, Kentucky, United States, United States View →
2 education records

Jessica Caummisar education

Bachelor Of Science In Interdisciplinary Studies: Computer Information Technology And Management

Sullivan University
FAQ

Frequently asked questions about Jessica Caummisar

Quick answers generated from the profile data available on this page.

What company does Jessica Caummisar work for?

Jessica Caummisar works for Humana.

What is Jessica Caummisar's role at Humana?

Jessica Caummisar is listed as Encounter Data Management Lead at Humana.

Where is Jessica Caummisar based?

Jessica Caummisar is based in Louisville Metropolitan Area, United States, United States while working with Humana.

What companies has Jessica Caummisar worked for?

Jessica Caummisar has worked for Humana and Ups.

Who are Jessica Caummisar's colleagues at Humana?

Jessica Caummisar's colleagues at Humana include Matt Zimmerman, Dawn Glass, Jessica Alcaraz, Tammy Morris, and Tamas Polyak.

How can I contact Jessica Caummisar?

You can use AeroLeads to view verified contact signals for Jessica Caummisar at Humana, including work email, phone, and LinkedIn data when available.

What schools did Jessica Caummisar attend?

Jessica Caummisar holds Bachelor Of Science In Interdisciplinary Studies: Computer Information Technology And Management from Sullivan University.

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