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Job Details

Specialist Programs Senior Value-Based Programs Professional - Louisville KY or Work at Home

Company name
Humana Inc.

Location
Birmingham, AL, United States

Employment Type
Full-Time

Industry
Work At Home, Accounting, Finance

Posted on
Feb 26, 2021

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Profile

Description

The Specialist Programs 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.

How we Value You

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

Responsibilities

The Specialist Programs 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.

Be responsible for maintaining and enhancing current program logic for the various specialist value-based programs

Develop, test and implement new logic for new specialist focused programs

Evaluate, monitor and maintain logic code-set enhancements using internal and external datasets

Provide support for current specialist value-based programs and future initiatives

Be a subject matter expert in all facets of assigned programs

Work with stakeholders to continually redefine best practices to ensure our partners have the most accurate, timely, and actionable information

Assist internal and external stakeholders, including Provider Development and Market leadership to evaluate and expand specialist value-based programs into new markets, bundles, and business areas

Required Qualifications

Bachelor's Degree in Business, Economics, Finance, Accounting, Mathematics, Engineering, Computer Science or a related field

3 years of experience with SAS Enterprise Guide or similar experience with SQL and other relational database management systems

3 years experience with data interpretation and analysis

3 years of experience utilizing Microsoft Office Suite, particularly in Excel, experience in basic and advanced functions within Excel

Ability to think 'outside the box'

Ability to identify issues and provide resolutions quickly

Must be adaptable, able to manage and prioritize diverse and complex projects

Ability to work effectively, as well as independently, in a team environment

Capable communicator with ability to engage with individuals and groups; able to put context around data

Preferred Qualifications

Master's or other advanced degree/certificate in a quantitative field of study

Experience in Value-Based Care/Programs

Familiar with Humana's internal datasets (EDW, Service Fund, etc) or experience working with medical claims data

Additional Information

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m (satellite and/or wireless internet connections are NOT permitted for Work at Home roles) and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. #ThriveTogether #WorkAtHome

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

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