Value-Based Programs Analyst

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

• Problem Solving
• Provider Management
• Relationship management
• Consumer Experiences
• Confidentiality
• Data Analysis
• Detail-Oriented
• Written Communication

In addition to being a great place to work, Humana also offers industry-leading benefits for all employees, starting your FIRST day of employment. Benefits include:

• 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
• And more

• 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

• 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

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Originally posted on Himalayas