Value-Based Programs Analyst
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Job Description
Value-Based Programs Analyst supporting provider relationships, pricing, contracts, and compliance for Humana’s healthcare services. Analyzing financial trends and improving provider experience and value-based outcomes.
Responsibilities:
- Support successful value-based provider relationships
- Improve the provider experience and achieve path-to-value goals
- Interpret department, segment, and organizational strategy and operating objectives
- Analyze provider financial patterns and trends using Excel and/or SQL
- Update, maintain, and review fee scheduling and pricing structures
- Review provider contracts and ensure rates are priced and applied accurately
- Identify process recommendations and ensure compliance with government regulations
- Collaborate and communicate with internal partners across various departments
- Travel occasionally to Humana offices for training or meetings when required
Requirements:
- 2+ years experience with data analysis
- Comprehensive knowledge of Microsoft Word and Excel, including pivot tables, vlookups, and 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
- EST hours
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
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
- Short-term and long-term disability
- Bonus incentive plan based upon company and/or individual performance
- Remote work arrangement
- Home office work setup requirements and dedicated workspace
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