Value-Based Programs Analyst

Overview

This role supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. Assignments are varied and often require interpretation and independent determination of the appropriate course of action.

The analyst works with department, segment, and organizational strategy and operating objectives, including linkages to areas such as value-based organization, enrollment, product development, market finance, corporate finance, actuarial, network contracting, and national contracting.

Responsibilities

• Analyze provider financial patterns and trends using Excel and/or SQL
• Update, maintain, and review fee scheduling and pricing structures
• Thoroughly review provider contracts to ensure rates are priced and applied accurately
• Identify process recommendations and help ensure compliance with government regulations
• Collaborate and communicate with internal partners across various professional levels

Requirements

• 2+ years of experience with data analysis
• Comprehensive knowledge of Microsoft Word and Excel (e.g., pivot tables, VLOOKUPs, basic formatting)
• Proven experience delivering exceptional customer experiences in a professional environment
• Proven experience organizing and prioritizing work to meet deadlines
• Strong verbal and written communication skills
• Strong attention to detail
• Ability to communicate with various levels in the organization

Preferred Qualifications

• 1+ year of experience within the Humana Service Fund Department
• Experience with contracts
• Experience in the healthcare industry
• SQL knowledge and experience writing SQL queries
• Experience with project management

Compensation & Benefits

• Pay range: $59,300 - $80,900 per year
• Eligible for a bonus incentive plan (incentive opportunity is based on company and/or individual performance)

Benefits include:

• Medical, dental, and vision benefits
• Health Savings Accounts and Flex Spending Accounts
• Life insurance
• 401(k)
• PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
• Additional benefits

Location / Schedule

• Scheduled weekly hours: 40
• This will be for EST hours.

Work-from-Home Requirements

• Self-provided internet service must meet minimum requirements: at least 25 Mbps download and 10 Mbps upload
• Wireless, wired cable, or DSL connection is suggested
• In some roles, minimum recommended internet speed may not be sufficient; the employer may require an internet service upgrade if necessary
• Work from a dedicated space without ongoing interruptions to protect member PHI / HIPAA information

Travel

• Occasional travel to offices for training or meetings may be required (remote position)

Equal Opportunity Employer

The employer is an equal opportunity employer and does not discriminate based on protected characteristics, and it takes affirmative action in compliance with applicable laws.