Value-Based Programs Analyst

Summary

Humana is a healthcare and health insurance company. The Value-Based Programs Analyst supports value-based provider relationships by analyzing financial patterns, maintaining pricing structures, reviewing provider contracts, identifying process improvements, and collaborating with internal departments to achieve organizational goals.

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

Skills

• Problem Solving
• Provider Management
• Relationship management
• Consumer Experiences
• Confidentiality
• Data Analysis
• Detail-Oriented
• Written Communication
• 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
• This will be for EST hours
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required
• 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

Qualifications

Must Haves

• Problem Solving
• Provider Management
• Relationship management
• Consumer Experiences
• Confidentiality
• Data Analysis
• Detail-Oriented
• Written Communication
• 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
• This will be for EST hours
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required

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

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