- R-410263
Become a part of our caring community
This role is embedded within the clinical education team and will work also closely with Coding operations team and Clinical Excellence team under the CenterWell Primary Care Organization. You will oversee training strategy and execution, training quality assurance and data analytics for provider coding training. As an education team leader, you will be the ambassador for value-based, senior care model in the primary care network.
Location: Hybrid
The Clinical Education team exists to support all the Primary Care Organization’s providers, nurses, social workers, and other staff members through training and education.
Role Description
The coding education lead will develop, design, and deploy the overall clinical coding curriculum to include onboarding and continuing education in collaboration with coding and clinical education team. They will collaborate with the learning team to create and deploy learning modules in addition to managing a team of role-based trainers and training facilitators. The Coding education lead role will report to the AVP, Clinical Education, and work as a thought partner with Coding and Documentation Improvement physician leader and National director, Clinical Informatics.
The main responsibilities of the role are:
Determine clinician coding education strategy with clinical education team and CDI (coding and documentation improvement) physician leader embedded in Clinical excellence.
Align clinician coding education strategy with organizational MRA goals in working with AVP coding and AVP MRA strategy.
Gain buy-in for coding education strategy in working with regional CMOs, clinical leaders, clinical excellence team and other clinician educators.
Work closely with coding team and coder education teams to loop in performance data and input into clinician education strategy.
Develop, design, and deploy clinician coding education leveraging coding educators on your team to providers in partnership with clinician educators
Seek feedback and secure buy in re: ongoing education from clinical leaders
Develop and maintain a score card to assess the effectiveness of clinician coding training; socialize training data with key clinical leaders
Supervise and develop a team of regional coding educators (West, Central, Southeast, and Florida) to provide clinician education in partnership with clinician educators.
This role will have a close working relationship and a dotted line to the medical director, CDI. The clinical coding educators will have dotted line relationships to clinical educators for their division.
Support other clinical education projects and programs as needed, as a program or project manager.
As a team leader in National Clinical Education team, be an ambassador for the team’s work.
Limited regional and national travel will be needed to meet markets, team meetings, onsite training etc., Up to 20%.
Attributes needed
Independent worker who will understand goals, objectives, metrics, and key players and execute independently and seek input when needed
Strong communicator who is comfortable with speaking in larger venues and venues led by CMO and Div. CMOs to share clinical coding education strategy and seek feedback
Comfortable with working in a large matrixed environment and willing to work in dotted line relationships
Use your skills to make an impact
Required Qualifications/Experience
- Must possess an active RN license
- A minimum five years’ experience in risk adjustment coding, auditing, and/or education, working with providers
- CPC (Certified Professional Coder) AHIMA or AAPC Certification required
- A minimum of three years’ experience in a clinic setting, preferably in VBC space
- A minimum of two years’ experience leading large-scale projects across a matrixed organization
- A minimum of two years’ leadership experience
- Knowledge of EMR
- In-depth knowledge of risk adjustment key performance indicators
- Comprehensive knowledge of MS Word, Excel, and PowerPoint
Preferred Qualifications
- Master’s degree
- Progressive business consulting and/or operational leadership experience
- Proficiency in analyzing and interpreting data trends
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.
$94,900 – $130,500 per year
This 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-30-2026
About us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.
About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.
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.
