Value-Based Programs Analyst

Humana • Remote US, FL

20h • $59,300 - $80,900 • Remote

About The Position

The Value-Based Programs Analyst 2 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 2 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. 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.

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
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

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

• Supports successful value-based provider relationships
• Improves the provider experience
• Achieves path-to-value goals
• 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
• bonus incentive plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed