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Senior Value-Based Programs Professional

Company: Humana
Location: Charleston
Posted on: September 22, 2022

Job Description:

DescriptionThe 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.ResponsibilitiesThe 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.This role will focus on value based strategies related to the administration of value based contracts. The role will support the markets in all value based contract administration strategies and support implementation of those strategies through regular engagement and analytical support. The role will be responsible for calculating the settlements based upon contractual stipulations and reconciliation of payments, driving results across the enterprise to support existing trend bender deliverables and identifying broader synergies. This role requires someone who is a self-starter, highly motivated and confident in their ability to drive program results independently.Required Qualifications

  • BS Degree in Accounting, Finance, Economics, or Business
  • 3 years of experience with health care and/or health care payment policies
  • Financial and business acumen; proven ability to put context around data
  • Must be adaptable, able to manage and prioritize diverse and complex projects
  • Microsoft Office Suite expertise, particularly in MS Excel
  • Proactive with leadership abilities
  • Comfortable presenting in front of leadershipPreferred Qualifications
    • Master's Degree
    • Value Based reimbursement modelAdditional InformationThis position is considered "remote/work at home" and can be located anywhere in the United States.
      • 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 25x10 (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 informationHumana 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 Hours40Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Keywords: Humana, Charleston , Senior Value-Based Programs Professional, Accounting, Auditing , Charleston, West Virginia

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