Value-Based Programs Analyst
About The Position
The Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Analyst work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Value-Based Programs Analyst understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas to include, but not limited to: the Value-Based organization, Enrollment, Product Development, Market Finance, Corporate Finance, Actuarial, Network Contracting, and National Contracting.
Requirements
- 2+ years experience with data analysis
- Comprehensive knowledge of Microsoft Word and Excel (ex. pivot tables, vlookups, basic formatting, etc)
- Proven experience in delivering exceptional customer experiences in a professional environment
- Proven experience in 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
Nice To Haves
- 1+ year of experience within the Humana Service Fund Department
- Experience with contracts
- Experience in the healthcare industry
- SQL knowledge and experience in writing SQL queries
- Experience with project management
Responsibilities
- Analyzes provider financial patterns and trends utilizing excel and/or SQL
- Updates, maintains, and reviews fee scheduling and pricing structures
- Thoroughly reviews provider contracts and ensure rates are priced and applied accurately
- Identifies process recommendations and ensures compliance with government regulations
- Collaborates and communicates with internal partners of all professional levels within various departments
Benefits
- Medical Benefits
- Dental Benefits
- Vision Benefits
- Health Savings Accounts
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
