Humana Value Based Programs Specialty Care Lead in Dover, Delaware
Become a part of our caring community and help us put health first
The Value-Based Programs Specialty Care Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) related to value-based vendor and specialty deals.
In supporting Humana's Value-Based Strategies organization, the Value-Based (VB) Programs Lead will be accountable for the development of new innovative VB provider payment models designed to promote improved quality, outcomes, and cost of care. Primary responsibilities of this role will be the evaluation of VB Payment Model efficacy and scalability as we seek to broaden our core VB Program portfolio. The ultimate goal is to lay the foundation with providers for additional partnerships that help create the most integrated and value based relationships in the industry.
1. Develops, designs, and implements new payment arrangements that improve quality and the member experience.
2. Works with senior executives and various program owners to develop and drive value based contracts for vendor and specialty programs.
3. Becomes an expert in the data available from disparate sources and use this information to conduct business analyses and recommend implementation and execution plans.
4. Conducts complex financial and other data analysis and makes recommendations (cost-benefit, market recommendations, strategy pro-forma, and impact analysis) that significantly impact the market operations.
5. Assesses emerging trends, develops formulas to measure and manage initiative success.
6. Designs complex mathematical models to help drive contractual decisions.
7. Manages the development and review/measurement of key business priorities.
This is an individual contributor role that reports to the Associate Vice President of Value Based Strategies.
Required Qualifications:
1. 5+ years of experience in a corporate strategy role or financial leadership role.
2. 3+ years of healthcare contracting experience.
3. Experience in managing the strategic planning cycle for a large organization with cross-functional engagement and prioritization.
4. Excellent written and verbal communication skills.
5. Problem-solving leadership skills with limited oversight.
6. Flexible, dynamic personality who works well in a team environment.
Preferred Qualifications:
1. BA/BS degree in Accounting, Finance, or Mathematics.
2. MBA or graduate degree in a management field.
3. Experience executing complex strategic and operational initiatives.
4. Clinical experience or certification.
5. Knowledge of Humana’s internal policies, procedures and systems.
Scheduled Weekly Hours: 40
Pay Range: The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year.
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits: Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
Equal Opportunity Employer: It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status.
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