Responsibilities
The Senior Value-Based Programs Professional advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
o Medical Benefits
o Dental Benefits
o Vision Benefits
o Health Savings Accounts
o Flex Spending Accounts
o Life Insurance
o 401(k)
o PTO including 7 paid holidays, two personal holidays, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
o And more
Job Description Summary
The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems of diverse scope and complexity ranging from moderate to substantial.
Job Description
The Senior Value-Based Programs Professional advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Required Qualifications
Experience in provider contract interpretation, and/or Provider Value based financial analysis (provider or payer)
3 + years of experience in data management, data extraction and data reporting
3+ years of expertise with data analytics and graphical presentations
Intermediate SQL Experience
Intermediate Microsoft Excel skills which may include; updating/modifying pivot tables, updating SQL connected queries
Demonstrated ability to translate complex system capabilities into simple customer message
Demonstrated ability to identify root cause and corrective actions
Ability to drive self and others to achieve commitments
Strong written and verbal communication skills
Experience managing workload in deadline driven area
Must be willing to work within Eastern Standard Time
Preferred Qualifications
Bachelor’s Degree highly desired
Experience working with Senior Leaders
Additional information
This position is considered “remote/work at home” and can be based anywhere in the United States.
Work-At-Home Requirements
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of COVID-19 vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Scheduled Weekly Hours
40
Not Specified
0